DTLA MED – NPI #1629567060
Clinic/Center

DTLA MED is an AHC clinic located in LOS ANGELES, CA. NPPES has assigned the NPI number 1629567060 to DTLA MED on May 01, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 8 years ago on Jul 23, 2018. 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 DTLA MED below.

NPI Profile for
DTLA MED

NPI Number
1629567060
Enumeration Date

(more than 8 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
DTLA MED
Doing Business As (dba): DTLA MED
Primary location
431 S HEWITT ST STE B
LOS ANGELES, CA 90013
Phone: (949) 677-0677 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALI BADDAY
PRESIDENT
Phone: (949) 677-0677
Updated
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
261QU0200X
- Clinic/Center / Urgent Care (Primary)
261QM1300X
- Clinic/Center / Multi-Specialty

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.