CATHEDRAL MEDICAL INC. (NPI# 1972142719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972142719 |
| Entity Type | Organization |
| Organization Name | CATHEDRAL MEDICAL INC. |
| Practice Address |
2226 E Cesar E Chavez Ave Los Angeles CA 90033-1825 |
| Mailing Address |
Po Box 57629 Los Angeles CA 90057-0629 |
| Practice Telephone | 3232664445 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |
| Authorized Official Name | VIKRAM S KOTHANDARAMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2138404757 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CATHEDRAL MEDICAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | XXX1234 | 05 |
| Other Name | Type Code |
|---|---|
| Her Smart Choice E LA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922448836 | Cathedral Medical Inc. | Specialist | 2226 E Cesar E Chavez Ave, Los Angeles, CA 90033-1825 | 2013-06-25 |
| Street Address |
2226 E CESAR E CHAVEZ AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457597973 | Clinica Medica Cathedral | Pediatrics | 2226 E Cesar E Chavez Ave, Los Angeles, CA 90033-1825 | 2009-01-05 |
| 1598304818 | Christine Lo | Nurse Practitioner | 2226 E Cesar E Chavez Ave, Los Angeles, CA 90033-1825 | 2020-01-03 |
| 1922448836 | Cathedral Medical Inc. | Specialist | 2226 E Cesar E Chavez Ave, Los Angeles, CA 90033-1825 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881090710 | Arthur Lawrence Ulene | Obstetrics & Gynecology | 6511 Moore Dr, Los Angeles, CA 90048-5325 | 2014-11-04 |
| 1275965105 | Rommel Gonzales Medical Group Inc | Obstetrics & Gynecology | 508 S Alvarado St, Los Angeles, CA 90057-2904 | 2013-08-02 |
| 1942645221 | Lesley Zlotta Blumberg | Obstetrics & Gynecology | 9370 Flicker Way, Los Angeles, CA 90069-1728 | 2013-05-01 |
| 1629343215 | Alfred Forrest | Obstetrics & Gynecology | 213 W 109th St, Los Angeles, CA 90061-2007 | 2012-03-14 |
| 1013282060 | Daulat Shaukat Chandani | Obstetrics & Gynecology | 1530 S Centinela Ave, #101, Los Angeles, CA 90025-3996 | 2012-03-08 |
| 1598914681 | Lidia M Rubinstein | Obstetrics & Gynecology | 601 Lorna Ln, Los Angeles, CA 90049-4216 | 2008-09-12 |
| 1528279387 | Regina Louise Edmond | Obstetrics & Gynecology | 1950 Sawtelle Blvd Ste 145, Los Angeles, CA 90025-7074 | 2007-05-24 |
| 1659591832 | Mahfouz M. Michael,m.d.,inc. | Obstetrics & Gynecology | 954 N Vermont Ave, Los Angeles, CA 90029-3529 | 2007-04-27 |
| 1689891798 | George Raymond Tyndall | Obstetrics & Gynecology | 3010 Wilshire Blvd, 93, Los Angeles, CA 90010-1103 | 2007-04-19 |
| 1518092808 | Leslie L Coley | Obstetrics & Gynecology | Dept 2555, Los Angeles, CA 91767-0001 | 2007-02-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
Please comment or provide details below to improve the information on CATHEDRAL MEDICAL INC..
| 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.