NPI Code Detail JSON Logo

1871918474 NPI number — CALIFORNIA HAND & UPPER EXTREMITY SPECIALISTS

NPI Number: 1871918474
Health Care Provider/Practitioner: CALIFORNIA HAND & UPPER EXTREMITY SPECIALISTS

Information about “1871918474” NPI (CALIFORNIA HAND & UPPER EXTREMITY SPECIALISTS) exists in 1871918474 in HTML format HTML  |  1871918474 in plain Text format TXT  |  1871918474 in PDF (Portable Document Format) PDF  |  1871918474 in an XML format XML  formats.

NPI Number : 1871918474 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871918474",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CALIFORNIA HAND & UPPER EXTREMITY SPECIALISTS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2625 W ALAMEDA AVE STE 116",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BURBANK",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91505-4815",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-841-3936",
    "MailingAddressFaxNumber": "818-841-5974",
    "FirstLinePracticeLocationAddress": "1245 WILSHIRE BLVD STE 611",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90017-4806",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-841-3936",
    "PracticeLocationAddressFaxNumber": "818-841-5974",
    "EnumerationDate": "02/19/2014",
    "LastUpdateDate": "12/09/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RAVEN",
    "AuthorizedOfficialFirstName": "RAYMOND",
    "AuthorizedOfficialMiddleName": "BENJAMIN",
    "AuthorizedOfficialTitle": "PRESIDENT & CEO",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": "III",
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "818-841-3936",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207X00000X",
          "TaxonomyName": "Orthopaedic Surgery Physician",
          "LicenseNumber": "A66365",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207XX0005X",
          "TaxonomyName": "Sports Medicine (Orthopaedic Surgery) Physician",
          "LicenseNumber": "A66365",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207XS0106X",
          "TaxonomyName": "Orthopaedic Hand Surgery Physician",
          "LicenseNumber": "A66365",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.