| NPI |
1447730874 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
| Entity Type Code |
1 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
| Provider Last Name Legal Name |
PAK |
The last name of the provider. If the provider is an individual, this is the legal name. |
| Provider First Name |
HANA |
The first name of the provider, if the provider
is an individual. |
| Provider Credential Text |
NP |
The abbreviations for professional degrees or credentials used or held by the provider,
if the provider is an individual. Examples
are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations
will not be verified by NPS. |
| Provider First Line Business Practice Location Address |
4650 W SUNSET BLVD |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
| Provider Business Practice Location Address City Name |
LOS ANGELES |
The city name in the location address of the provider being identified. |
| Provider Business Practice Location Address State Name |
CA |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
| Provider Business Practice Location Address Postal Code |
900276062 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
| Provider Business Practice Location Address Country Code If outside U S |
US |
The last name of the provider. If the provider is an individual, this is the legal name. |
| Provider Business Practice Location Address Telephone Number |
3236602450 |
The first name of the provider, if the provider
is an individual. |
| Provider Enumeration Date |
8/15/2018 |
The name prefix or salutation of the provider
if the provider is an individual; for example, Mr., Mrs., or Corporal. |
| Last Update Date |
10/18/2018 |
Other last name by which the provider being identified is or has been known. |
| Provider Gender Code |
F |
Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider first name’’ if the provider is or has been known by a different last name only. |
| Healthcare Provider Taxonomy Code 1 |
208000000X |
The other name prefix or salutation of the provider
if the provider is an individual; for example, Mr., Mrs., or Corporal. |
| Provider License Number 1 |
95009669 |
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional
name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other. |
| Provider License Number State Code 1 |
CA |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
| Healthcare Provider Primary Taxonomy Switch 1 |
N |
The city name in the location address of the provider being identified. |
| Healthcare Provider Taxonomy Code 2 |
363LP0200X |
The State code in the location of the provider
being identified. |
| Provider License Number 2 |
95009669 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
| Provider License Number State Code 2 |
CA |
The country code in the location address of the provider being identified. |
| Healthcare Provider Primary Taxonomy Switch 2 |
Y |
The telephone number associated with the location address of the provider being identified. |
| Is Sole Proprietor |
N |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |