NPI Code Detail JSON Logo

1801299136 NPI number — SMITH MEDICAL MANAGEMENT

NPI Number: 1801299136
Health Care Provider/Practitioner: SMITH MEDICAL MANAGEMENT

Information about “1801299136” NPI (SMITH MEDICAL MANAGEMENT) exists in 1801299136 in HTML format HTML  |  1801299136 in plain Text format TXT  |  1801299136 in PDF (Portable Document Format) PDF  |  1801299136 in an XML format XML  formats.

NPI Number : 1801299136 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801299136",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SMITH MEDICAL MANAGEMENT",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7985 SANTA MONICA BLVD",
    "SecondLineMailingAddress": "109-215",
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90046",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "213-364-1263",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2953 PALM GROVE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90016",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "213-364-1263",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/01/2014",
    "LastUpdateDate": "10/29/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PINEDA",
    "AuthorizedOfficialFirstName": "ELDA",
    "AuthorizedOfficialMiddleName": "MAGALY",
    "AuthorizedOfficialTitle": "PARTNER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "213-364-1263",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": "A122580",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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