IDEAL HEALTH CARE AND MEDICAL NPI 1265470868

Specialist in Hollywood, CA

NPI 1265470868 Organization Specialist

About IDEAL HEALTH CARE AND MEDICAL

Ideal Health Care And Medical is a provider established in Hollywood, California specializing in specialist. The NPI number of Ideal Health Care And Medical is 1265470868 and was assigned on June 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Ideal Health Care And Medical operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Arnel Joaquin M.d. (Medical Director)

NPI

1265470868

Provider NameIDEAL HEALTH CARE AND MEDICAL
Provider Location Address6245 DE LONGPRE AVE 206 HOLLYWOOD, CA 90028
Provider Mailing Address6245 DE LONGPRE AVE 206 HOLLYWOOD, CA 90028
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-04-2006
Last Update Date05-22-2014


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License StateCA
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

IDEAL HEALTH CARE AND MEDICAL
6245 DE LONGPRE AVE
206
HOLLYWOOD, CA
ZIP 90028
Phone: (323) 462-2271
Fax: (323) 785-1223

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Mailing Address

IDEAL HEALTH CARE AND MEDICAL
6245 DE LONGPRE AVE
206
HOLLYWOOD, CA
ZIP 90028
Phone: (323) 462-2271
Fax: (323) 785-1223



Authorized Official

Authorized Official Name ARNEL JOAQUIN M.D.
Authorized Official TitleMEDICAL DIRECTOR
Authorized Official Phone(323) 462-2271

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
W14773MEDICARE ID-TYPE UNSPECIFIED (04)CA
GR0086130MEDICAID (05)CA
GR0086131MEDICAID (05)CA

Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912968231WESTCOM RADIOLOGY MEDICAL GROUP
Organization
Radiology (Diagnostic Radiology)6245 DE LONGPRE AVE
LOS ANGELES, CA 90028
(323) 462-2271
1144281163KENNETH C NIEBERG MD INC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)6245 DE LONGPRE AVE
HOLLYWOOD, CA 90028
(323) 462-2271
1730141888 PATRICK L MULLENS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6245 DE LONGPRE AVE
HOLLYWOOD, CA 90028
(323) 462-2271
1477504769 KRISHNA SAIGAL MD
Individual
Pathology (Cytopathology)6245 DE LONGPRE AVE
LOS ANGELES, CA 90028
(323) 938-3161
1881898740JOEL FREDERICK FINE, MD A MED
Organization
Anesthesiology6245 DE LONGPRE AVE
HOLLYWOOD, CA 90028
(323) 462-2271
1699713966 ALEXIS NIXON PA
Individual
Physician Assistant (Medical)6245 DE LONGPRE AVE 206
HOLLYWOOD, CA 90028
(323) 785-1223
1104296870ERNEST SHMIDT, MD INC.
Organization
Anesthesiology6245 DE LONGPRE AVE
LOS ANGELES, CA 90028
(323) 462-2271
1003037508DR. ERNEST SHMIDT MD
Individual
Anesthesiology6245 DE LONGPRE AVE
LOS ANGELES, CA 90028
(323) 462-2271
1730631730ARNEL M JOAQUIN M D INC
Organization
Specialist6245 DE LONGPRE AVE SUITE 206, B
HOLLYWOOD, CA 90028
(213) 880-3305
1255883005MEMORIAL PATHOLOGY MEDICAL GROUP, INC.
Organization
Pathology (Anatomic Pathology & Clinical Pathology)6245 DE LONGPRE AVE
HOLLYWOOD, CA 90028
(323) 462-2271
1003033754 GLORY CABANILLA TANCINCO MD
Individual
Anesthesiology6245 DE LONGPRE AVE
LOS ANGELES, CA 90028
(234) 622-2713
1023010113SOUTHERN CALIFORNIA HEALTHCARE SYSTEM, INC
Organization
General Acute Care Hospital6245 DE LONGPRE AVE
HOLLYWOOD, CA 90028
(323) 462-2271
1396775474DR. MARCEL S FILART MD
Individual
Internal Medicine (Geriatric Medicine)6245 DE LONGPRE AVE FL 2
LOS ANGELES, CA 90028
(323) 499-1350

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The 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 Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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 (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization 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 Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.