Provider Type Icon

WHITE MEMORIAL MEDICAL CENTER NPI 1689079402


NPI Information

NPI: 1689079402
Provider Name: WHITE MEMORIAL MEDICAL CENTER
Classification: Special Hospital - 284300000X
Entity Type: Organization

CLIA Number: 05D0691235

Address:
1720 CESAR E. CHAVEZ AVENUE
LOS ANGELES, CA
ZIP 90033
Phone: (323) 260-5789
Get Directions

WHITE MEMORIAL MEDICAL CENTER is a special hospital in Los Angeles, CA. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. WHITE MEMORIAL MEDICAL CENTER NPI is 1689079402. The provider is registered as an organization entity type.

The provider's business location address is:

1720 CESAR E. CHAVEZ AVENUE
LOS ANGELES, CA
ZIP 90033
Phone: (323) 260-5789

The provider's authorized official is Luis Samaniego .
The authorized official title is Family Medicine Program Director and has the following contact phone number (323) 260-5789.

The CLIA number assigned to this NPI record is 05D0691235 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/23/2014 and was last updated on 10/23/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center20A13554CALIFORNIANo
2261QU0200XClinic/CenterUrgent Care20A13554CALIFORNIANo
3284300000XSpecial Hospital20A13554CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.