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1922240902 NPI number — PREMIER HEART CENTERS OF LA, LLC

NPI Number: 1922240902
Health Care Provider/Practitioner: PREMIER HEART CENTERS OF LA, LLC

Information about “1922240902” NPI (PREMIER HEART CENTERS OF LA, LLC) exists in 1922240902 in HTML format HTML  |  1922240902 in plain Text format TXT  |  1922240902 in PDF (Portable Document Format) PDF  |  1922240902 in an XML format XML  formats.

NPI Number : 1922240902 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922240902",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PREMIER HEART CENTERS OF LA, LLC",
    "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": "PO BOX 578",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOGALUSA",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70429-0578",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "985-735-8022",
    "MailingAddressFaxNumber": "985-735-8024",
    "FirstLinePracticeLocationAddress": "1407 AVENUE F",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOGALUSA",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70427-4340",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "985-735-8022",
    "PracticeLocationAddressFaxNumber": "985-735-8024",
    "EnumerationDate": "04/06/2009",
    "LastUpdateDate": "04/09/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MEJIA",
    "AuthorizedOfficialFirstName": "VICTOR",
    "AuthorizedOfficialMiddleName": "ELIGO",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "985-735-8022",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RC0000X",
        "TaxonomyName": "Cardiovascular Disease Physician",
        "LicenseNumber": "MD.08620R",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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