KOREA MEDICAL GROUP INC (NPI# 1467564757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467564757 |
| Entity Type | Organization |
| Organization Name | KOREA MEDICAL GROUP INC |
| Practice Address |
3544 W Olympic Blvd Ste 105 Los Angeles CA 90019-3529 |
| Practice Telephone | 3237310681 |
| Practice Fax Number | 3237310832 |
| Mailing Telephone | 3237310681 |
| Mailing Fax Number | 3237310832 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-12-12 |
| Authorized Official Name | DR. YONG TAI LEE (DIRECTOR) |
| Authorized Official Telephone | 3237310681 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G67974 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0090150 | 05 |
| Street Address |
3544 W OLYMPIC BLVD STE 105 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90019-3529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386299139 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1302 South La Brea, Los Angeles, CA 90019 | 2019-08-08 |
| 1104383694 | 310 Recovery Inc. | Clinic/Center | 1723 1/2 Hauser Blvd, Los Angeles, CA 90019 | 2019-02-21 |
| 1184131328 | Sehyeong Son | Acupuncturist | 1722 Crenshaw Blvd, Los Angeles, CA 90019 | 2018-01-09 |
| 1285158154 | Vanessa A. Myrie | Social Worker | 5562 Packard St., Los Angeles, CA 90019 | 2017-08-01 |
| 1093241309 | Hamburger Home | Community/Behavioral Health | 4066 W. 17th Street, Los Angeles, CA 90019 | 2017-05-05 |
| 1639614779 | Jung Ho Kang | Acupuncturist | 903 S. Crenshaw Blvd #304a, Los Angeles, CA 90019 | 2016-12-28 |
| 1912353491 | Sung Won Lee | Acupuncturist | 4027 W. Pico Bl., Los Angeles, CA 90019 | 2016-05-13 |
| 1497188528 | Sfvcmhc | Community/Behavioral Health | 5754 San Vicente Blvd, 401, Los Angeles, CALIFORNIA 90019 | 2013-08-13 |
| 1467890160 | Denise Breheny | Lactation Consultant, Non-RN | 1053 Carmona Ave., Los Angeles, CA 90019 | 2013-06-05 |
| 1336483122 | Nancy Denise - Latten Davidson | Student in an Organized Health Care Education/Training Program | 4073-75 West Pico Blvd, Los Angeles, CA 90019 | 2012-11-16 |
| Find all providers in zip 90019 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252359 | Westside Gastroenterology and Hepatology | Internal Medicine | 2080 Century Park E Ste 1200, Los Angeles, CA 90067-2015 | 2020-10-13 |
| 1528571874 | Brelian Medical Inc. | Internal Medicine | 711 W College St Ste 203, Los Angeles, CA 90012-3177 | 2017-11-08 |
| 1487097119 | Jonathan S Pourmorady | Internal Medicine | 2080 Century Park E Ste 710, Los Angeles, CA 90067-2010 | 2013-04-11 |
| 1578806089 | David Alexanian | Internal Medicine | 1200 N State Street, Ct-a7d, Los Angeles, CA 90033 | 2013-04-03 |
| 1942597265 | Inpatient Gastroenterology Services, Inc. | Internal Medicine | 116 S Croft Ave, 301, Los Angeles, CA 90048-3448 | 2011-07-07 |
| 1609190354 | Alexander H Kim | Internal Medicine | 1828 E Cesar Chavez, Suite 6200, Los Angeles, CA 90033-2585 | 2010-03-24 |
| 1508008301 | Marvin Anton Perer | Internal Medicine | 2258 The Ter, Los Angeles, CA 90049-1171 | 2009-03-25 |
| 1285874990 | Hamed Nayeb-hashemi | Internal Medicine | 200 Med Plaza #365, 420, 120, Los Angeles, CA 90095-6082 | 2009-02-20 |
| 1952553380 | Andrew Heejoon Kim | Internal Medicine | 1414 S Grand Ave Ste 303, Los Angeles, CA 90015-3071 | 2008-10-16 |
| 1750533261 | Puja Vora Khanna | Internal Medicine | 110 N George Burns Rd, David Building D4063, Los Angeles, CA 90048-1830 | 2008-10-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90019 |
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| 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.