{
"Npi": {
"NPI": "1821481219",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JOEY J SPITZER",
"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": "1011 BALDWIN PARK BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BALDWIN PARK",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91706-5806",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-275-5687",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1011 BALDWIN PARK BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BALDWIN PARK",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91706-5806",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-275-5687",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/10/2015",
"LastUpdateDate": "03/10/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SPITZER",
"AuthorizedOfficialFirstName": "JOEY",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "MD",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "626-851-5230",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "A115914",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}