SILICON BEACH MEDICAL CENTER INC (NPI# 1366964330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366964330 |
| Entity Type | Organization |
| Organization Name | SILICON BEACH MEDICAL CENTER INC |
| Other Organization Name | SILICON BEACH MEDICAL CENTER INC |
| Practice Address |
5450 Lincoln Blvd Los Angeles CA 90094-2002 |
| Mailing Address |
4712 Admiralty Way # 574 Marina Del Rey CA 90292-6905 |
| Practice Telephone | 3103059200 |
| Practice Fax Number | 3103052800 |
| Mailing Telephone | 3103059200 |
| Mailing Fax Number | 3103052800 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2020-05-01 |
| Authorized Official Name | YOUNG SUN YI (OWNER/CEO) |
| Authorized Official Telephone | 3103059200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Silicon Beach Medical Center Inc | Doing Business As Name - Organization |
| Street Address |
5450 LINCOLN BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90094-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689612897 | Asongu Josephine Ncho | Internal Medicine | 5450 Lincoln Blvd, Los Angeles, CA 90094-2002 | 2006-06-02 |
| 1952888596 | Marina Chiropractic Corp. | Chiropractor | 5450 Lincoln Blvd, Los Angeles, CA 90094 | 2018-07-26 |
| 1689019879 | Playa Advance Urgent Care Inc | Clinic/Center | 5450 Lincoln Blvd, Los Angeles, CA 90094-2002 | 2013-05-02 |
| 1659624682 | Playa Advance Surgical Institute LLC | Clinic/Center | 5450 Lincoln Blvd, Los Angeles, CA 90094-2002 | 2012-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225408586 | Merle Morgan | Acupuncturist | 12871 W. Runway Rd, Unit 1, Playa Vista, CA 90094 | 2015-09-30 |
| 1134518004 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 12746 W Jefferson Blvd, Ste 3160, Playa Vista, CA 90094 | 2015-01-15 |
| 1619170537 | Ivette Osorio | Speech-Language Pathologist | 13080 Pacific Promenade, #213, Playa Vista, CA 90094 | 2007-06-07 |
| 1033201363 | Nancy Lee Rosser | Psychiatry & Neurology | 200 S. Barrington Ave., 1907, Los Angeles, CA 90094 | 2006-09-28 |
| 1134570476 | Mahsa Eghbali | Pharmacist | 12746 W Jefferson Blvd, Playa Vista, CA 90094 | 2016-06-28 |
| 1871960708 | Cassandra Wong | Nurse Practitioner | 12746 W Jefferson Blvd, Playa Vista, CA 90094 | 2015-08-26 |
| 1336505460 | West Coast Surgical Associates | Clinic/Center | 5450 Pacific Coast Hwy, 545, Playa Vista, CA 90094-2002 | 2016-01-05 |
| 1225308729 | Stephanie Cohen | Social Worker | 13175 Fountain Park Dr, A-420, Playa Vista, CA 90094-2023 | 2011-12-31 |
| 1598711566 | Playa Physical Therapy | Clinic/Center | 13163 Fountain Park Dr, Suite A, Playa Vista, CA 90094-2040 | 2006-05-25 |
| 1790035632 | Terry Chu | Physical Therapist | 13163 Fountain Park Dr, Suite A, Playa Vista, CA 90094-2040 | 2012-09-19 |
| Find all providers in zip 90094 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291047 | Ultra Urgent Care | Clinic/Center | 2875 W 7th St, Los Angeles, CA 90005-3907 | 2020-09-30 |
| 1912402181 | Treat Medical Inc | Clinic/Center | 2110 W Sunset Blvd Ste M, Los Angeles, CA 90026-3125 | 2018-03-28 |
| 1740655208 | Downtown Urgent Care | Clinic/Center | 269 S San Pedro St, Los Angeles, CA 90012-3808 | 2015-12-09 |
| 1548631369 | Koreatown Urgent Care Center | Clinic/Center | 505 S Virgil Ave Ste 101, Los Angeles, CA 90020-1407 | 2015-10-20 |
| 1023490216 | Fannies Daughters Medical PC | Clinic/Center | 3650 W Martin Luther King Jr Blvd, 185, Los Angeles, CA 90008-1700 | 2015-06-24 |
| 1710368675 | Baldwin Hills Crenshaw Urgent Care | Clinic/Center | 3650 W Martin Luther King Jr Blvd Ste 185, Los Angeles, CA 90008-1799 | 2015-06-16 |
| 1962882266 | Wr Balboa Urgent Care Medicine | Clinic/Center | 937 S Alvarado St, 1d, Los Angeles, CA 90006-3067 | 2015-06-02 |
| 1356767867 | Hollywood Urgent Care | Clinic/Center | 5717 Melrose Ave, Los Angeles, CA 90038-3807 | 2014-03-07 |
| 1790962165 | Usc Care Medical Group, Inc. | Clinic/Center | 1100 N State Street, A1d, Los Angeles, CA 90033 | 2008-01-28 |
| 1750573622 | American Current Care of California, A Medical Corporation | Clinic/Center | 6033 West Century Blvd, Suite 200, Los Angeles, CA 90045 | 2007-08-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90094 |
Please comment or provide details below to improve the information on SILICON BEACH MEDICAL CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.