BMC MEDICAL INC


Address: 11126 S Main St, Los Angeles, CA 90061-1926
Phone: 3237798398

BMC MEDICAL INC (NPI# 1386942977) 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) 1386942977
Entity Type Organization
Organization Name BMC MEDICAL INC
Practice Address 11126 S Main St
Los Angeles
CA 90061-1926
Practice Telephone 3237798398
Mailing Telephone 3237798398
Enumeration Date 2011-03-04
Last Update Date 2011-11-09
Authorized Official Name EMMANUEL AYODELE (CEO)
Authorized Official Telephone 3237798398
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
A46478 CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA 1619169406 05

Office Location

Street Address 11126 S MAIN ST
City LOS ANGELES
State CA
Zip Code 90061-1926

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104984137 Beth Medical Clinic Legal Medicine 11126 S Main St, Los Angeles, CA 90061-1926 2006-12-04
1730331299 Total Healthcare General Practice 11126 S Main St, Los Angeles, CA 90061-1926 2008-10-16
1619169406 Emmanuel A Ayodele General Practice 11126 S Main St, Los Angeles, CA 90061 2007-08-15

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90061

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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.

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