Provider Demographics
NPI:1053819508
Name:DOWNTOWN MEDICAL CENTER INC
Entity Type:Organization
Organization Name:DOWNTOWN MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:SPILLANE
Authorized Official - Last Name:BIRNS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-252-7281
Mailing Address - Street 1:2252 BEVERLY BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-2246
Mailing Address - Country:US
Mailing Address - Phone:213-252-7281
Mailing Address - Fax:213-252-7282
Practice Address - Street 1:2252 BEVERLY BLVD STE 102
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-2246
Practice Address - Country:US
Practice Address - Phone:213-252-7281
Practice Address - Fax:213-252-7282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-30
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA41985OtherMEDICAL LICENSE