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PROMED PROVIDERS LLC
NPI 1811267503
Clinical Nurse Specialist - Chronic Care in Los Angeles, CA

Active since January 11, 2012
1936 PINEHURST RD, LOS ANGELES, CA 90068(213) 840-0123 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Promed Providers Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROMED PROVIDERS LLC (NPI 1811267503) is a healthcare organization registered as a chronic care in Los Angeles, California and active in the NPI registry since January 2012. The organization lists Donald Shinzato Porter, President, as its authorized official.

NPPES Registry Identity

NPI1811267503
Entity TypeOrganization
Primary Taxonomy364SC2300X
Legal Business NamePROMED PROVIDERS LLC
Location Address1936 PINEHURST RDLos Angeles, CA 90068-3730
Mailing Address1936 Pinehurst RdLos Angeles, CA 90068-3730
Phone(213) 840-0123
Organization SubpartNo
Authorized OfficialDonald Shinzato PorterPresident · (213) 840-0123
Enumeration DateJanuary 11, 2012
Last NPPES UpdateJanuary 19, 2012
✔ NPI 1811267503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Chronic CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SC2300X
1936 PINEHURST RD, Los Angeles, CA 90068
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Group Practice 1

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Promed Providers LLC's NPI number?

The NPI number for Promed Providers LLC is 1811267503. It was assigned to this organization in the NPPES registry on January 11, 2012.

Where is Promed Providers LLC located?

Promed Providers LLC is located at 1936 Pinehurst Rd, Los Angeles, CA 90068. The listed phone number is (213) 840-0123.

What is Promed Providers LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Chronic Care, with taxonomy code 364SC2300X.

When was this NPI record last updated?

The NPPES record for Promed Providers LLC was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.