APLA HEALTH - MICHAEL GOTTLIEB HEALTH CENTER – NPI #1104688795
Clinic/Center

APLA HEALTH - MICHAEL GOTTLIEB HEALTH CENTER is an AHC clinic located in WEST HOLLYWOOD, CA. NPPES has assigned the NPI number 1104688795 to APLA HEALTH - MICHAEL GOTTLIEB HEALTH CENTER on January 29, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “APLA HEALTH - MICHAEL GOTTLIEB HEALTH CENTER” is a dba name, the actual legal business name for this organization is APLA HEALTH & WELLNESS. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Oct 31, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for APLA HEALTH - MICHAEL GOTTLIEB HEALTH CENTER below.

NPI Profile for
APLA HEALTH & WELLNESS

NPI Number
1104688795
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
APLA HEALTH & WELLNESS
Doing Business As (dba): APLA HEALTH - MICHAEL GOTTLIEB HEALTH CENTER
Primary location
7531 SANTA MONICA BLVD STE 100
WEST HOLLYWOOD, CA 90046-6458
Phone: (323) 988-1400 Fax:
Mailing address
611 S KINGSLEY DR
LOS ANGELES, CA 90005-2319
Phone: Fax:
Organization Subpart
No
Authorized Official
JOSEPH MOLDOVAN
CHIEF FINANCIAL OFFICER
Phone: (213) 201-1411
Updated
Certification Date
Oct 31, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.