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  7. NPI Record 1750508982

OBAND MEDICAL GROUP, INC.
Complete NPI Record 1750508982
Internal Medicine - Obesity Medicine in Los Angeles, CA

NPI Status: Active since April 19, 2007

Contact Information

10921 WILSHIRE BLVD
STE. 1110
LOS ANGELES, CA
ZIP 90024
Phone: (310) 208-6104

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider Business Mailing Address Fax Number
  12. Provider First Line Business Practice Location Address
  13. Provider Second Line Business Practice Location Address
  14. Provider Business Practice Location Address City Name
  15. Provider Business Practice Location Address State Name
  16. Provider Business Practice Location Address Postal Code
  17. Provider Business Practice Location Address Country Code If outside U S
  18. Provider Business Practice Location Address Telephone Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Authorized Official Last Name
  22. Authorized Official First Name
  23. Authorized Official Title or Position
  24. Authorized Official Telephone Number
  25. Healthcare Provider Taxonomy Code 1
  26. Provider License Number State Code 1
  27. Healthcare Provider Primary Taxonomy Switch 1
  28. Healthcare Provider Taxonomy Code 2
  29. Provider License Number State Code 2
  30. Healthcare Provider Primary Taxonomy Switch 2
  31. Healthcare Provider Taxonomy Code 3
  32. Provider License Number State Code 3
  33. Healthcare Provider Primary Taxonomy Switch 3
  34. Healthcare Provider Taxonomy Code 4
  35. Provider License Number State Code 4
  36. Healthcare Provider Primary Taxonomy Switch 4
  37. Healthcare Provider Taxonomy Code 5
  38. Provider License Number State Code 5
  39. Healthcare Provider Primary Taxonomy Switch 5
  40. Healthcare Provider Taxonomy Code 6
  41. Provider License Number State Code 6
  42. Healthcare Provider Primary Taxonomy Switch 6
  43. Healthcare Provider Taxonomy Code 7
  44. Provider License Number State Code 7
  45. Healthcare Provider Primary Taxonomy Switch 7
  46. Healthcare Provider Taxonomy Code 8
  47. Provider License Number State Code 8
  48. Healthcare Provider Primary Taxonomy Switch 8
  49. Healthcare Provider Taxonomy Code 9
  50. Provider License Number State Code 9
  51. Healthcare Provider Primary Taxonomy Switch 9
  52. Healthcare Provider Taxonomy Code 10
  53. Provider License Number State Code 10
  54. Healthcare Provider Primary Taxonomy Switch 10
  55. Healthcare Provider Taxonomy Code 11
  56. Provider License Number State Code 11
  57. Healthcare Provider Primary Taxonomy Switch 11
  58. Healthcare Provider Taxonomy Code 12
  59. Provider License Number State Code 12
  60. Healthcare Provider Primary Taxonomy Switch 12
  61. Healthcare Provider Taxonomy Code 13
  62. Provider License Number State Code 13
  63. Healthcare Provider Primary Taxonomy Switch 13
  64. Is Organization Subpart
  65. Authorized Official Name Prefix Text
  66. Authorized Official Credential Text
  67. Healthcare Provider Taxonomy Group 1
  68. Healthcare Provider Taxonomy Group 2
  69. Healthcare Provider Taxonomy Group 3
  70. Healthcare Provider Taxonomy Group 4
  71. Healthcare Provider Taxonomy Group 5
  72. Healthcare Provider Taxonomy Group 6
  73. Healthcare Provider Taxonomy Group 7
  74. Healthcare Provider Taxonomy Group 8
  75. Healthcare Provider Taxonomy Group 9
  76. Healthcare Provider Taxonomy Group 10
  77. Healthcare Provider Taxonomy Group 11
  78. Healthcare Provider Taxonomy Group 12
  79. Healthcare Provider Taxonomy Group 13

Complete NPI Dataset

This page represents the complete record for NPI 1750508982. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1750508982
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: 2
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).
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: DEPARTMENT 8551
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: LOS ANGELES
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: CA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 900848551
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 3103018329
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 3108222645
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 10921 WILSHIRE 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 Second Line Business Practice Location Address: STE. 1110
The second 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 State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 90024
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 Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 3102086104
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 4/19/2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 6/21/2010
The date that a record was last updated or changed.
Authorized Official Last Name: VERBUKH
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: ISAAC
The first name of the authorized official.
Authorized Official Title or Position: PRESIDENT
The title or position of the authorized official.
Authorized Official Telephone Number: 3103018329
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 103TP0016X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number State Code 1: CA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 207RC0000X
Provider License Number State Code 2: CA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 2: N
Healthcare Provider Taxonomy Code 3: 207RG0100X
Provider License Number State Code 3: CA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 3: N
Healthcare Provider Taxonomy Code 4: 207RS0012X
Provider License Number State Code 4: CA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 4: N
Healthcare Provider Taxonomy Code 5: 207VG0400X
Provider License Number State Code 5: CA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 5: N
Healthcare Provider Taxonomy Code 6: 207X00000X
Provider License Number State Code 6: CA
Healthcare Provider Primary Taxonomy Switch 6: N
Healthcare Provider Taxonomy Code 7: 207Y00000X
Provider License Number State Code 7: CA
Healthcare Provider Primary Taxonomy Switch 7: N
Healthcare Provider Taxonomy Code 8: 208200000X
Provider License Number State Code 8: CA
Healthcare Provider Primary Taxonomy Switch 8: N
Healthcare Provider Taxonomy Code 9: 208800000X
Provider License Number State Code 9: CA
Healthcare Provider Primary Taxonomy Switch 9: N
Healthcare Provider Taxonomy Code 10: 213E00000X
Provider License Number State Code 10: CA
Healthcare Provider Primary Taxonomy Switch 10: N
Healthcare Provider Taxonomy Code 11: 247100000X
Provider License Number State Code 11: CA
Healthcare Provider Primary Taxonomy Switch 11: N
Healthcare Provider Taxonomy Code 12: 363L00000X
Provider License Number State Code 12: CA
Healthcare Provider Primary Taxonomy Switch 12: N
Healthcare Provider Taxonomy Code 13: 207RB0002X
Provider License Number State Code 13: CA
Healthcare Provider Primary Taxonomy Switch 13: Y
Is Organization Subpart: N
Authorized Official Name Prefix Text: DR.
Authorized Official Credential Text: M.D.
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 5: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 6: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 7: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 8: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 9: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 10: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 11: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 12: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 13: 193200000X MULTI-SPECIALTY GROUP