PROSPECT MEDICAL GROUP AZ, INC.
General Practice

Address: 3415 S Sepulveda Blvd Fl 9, Los Angeles, CA 90034-6060

PROSPECT MEDICAL GROUP AZ, INC. (NPI# 1366037152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366037152
Entity Type Organization
Organization Name PROSPECT MEDICAL GROUP AZ, INC.
Practice Address 3415 S Sepulveda Blvd Fl 9
Los Angeles
CA 90034-6060
Practice Telephone 3109434500
Mailing Address 3415 S Sepulveda Blvd Fl 9
Los Angeles
CA 90034-6060
Mailing Telephone 3109434500
Certification Date 2021-03-04
Enumeration Date 2021-03-04
Last Update Date 2021-03-04
Authorized Official Telephone 3109434500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 208D00000X General Practice 193400000X SINGLE SPECIALTY GROUP Allopathic & Osteopathic Physicians

Office Location

Street Address 3415 S SEPULVEDA BLVD FL 9
City LOS ANGELES
State CA
Zip Code 90034-6060

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1073542791 Minh-Thu Thi Le Clinical Neuropsychologist 3415 S Sepulveda Blvd, Fl 11, Los Angeles, CA 90034-6060 2006-07-03

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
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1902467996 Jessie Alexandra Mccurdy Marriage & Family Therapist 3200 Motor Ave, Los Angeles, CA 90034 2019-06-21
1154888063 Lanmc Corporation Community/Behavioral Health 1920 S. Robertson Blvd., Los Angeles, CA 90034 2019-02-27
1265999551 Sang Thi Kim Nguyen Pharmacist 6041 Cadillac Ave., Kaiser Wla Outpatient 24hr Pharmacy, Los Angeles, CA 90034 2019-02-22
1225510688 Shannon Kris Jacobson Social Worker 3200 Motor Ave, Los Angeles, CA 90034 2018-09-02
1982184230 Maria Lynda Ramos-Carver Student in an Organized Health Care Education/Training Program 3200 Motor Ave, Los Angeles, CA 90034 2018-08-16
1518447952 Sonia Maribel Nochez Marriage & Family Therapist 3200 Motor Ave, Los Angeles, CA 90034 2018-08-15
1023597325 Angela Lena Guilfoyle Social Worker · Clinical 3200 Motor Ave, Los Angeles, CA 90034 2018-08-08
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255939674 Kiira Health Practice Ca PC 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 2020-10-16
1851913917 St Bishoy Medical Group 8545 Saturn St Apt 103, Los Angeles, CA 90035-3658 2020-05-12
1609403807 Doctors On The Go Professional Group Corp. 3325 Wilshire Blvd Ste 210, Los Angeles, CA 90010-1718 2020-03-26
1568001584 Ahdout Health Services, Inc. 2121 Avenue of The Stars # Ll20, Los Angeles, CA 90067-5010 2019-12-23
1114560083 Sin Fronteras Health and Wellness Center, Inc, A Professional Corporat · Sin Fronteras Health and Wellness Center 6006 Whittier Blvd, Los Angeles, CA 90022-4402 2019-10-23
1104470384 Chan Family Medical Corp 4070 E. Olympic Blvd, Los Angeles, CA 90023 2019-07-26
1972064004 Divine Help Medical Group Inc 1711 W Temple St Unit 5613, Los Angeles, CA 90026-5421 2019-03-29
1942767801 Plaza Health Services Inc. 11111 Santa Monica Blvd Ste 200, Los Angeles, CA 90025-3333 2019-02-27
1184181943 Time Medical Biotech 815 S Ardmore Ave, Los Angeles, CA 90005-2597 2019-02-27
1215429493 Milton Medical Clinic, P.C. 4643 Beverly Blvd Ste 101, Los Angeles, CA 90004 2018-06-04
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Competitor

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City LOS ANGELES
Zip Code 90034

Similar providers

NPI Name Taxonomy Address Enumeration
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1558411975 Tactical Medical Group Inc. Emergency Medicine 250 Prospect Pl, Coronado, CA 92118-1943 2007-01-10

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.