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KOREA MEDICAL GROUP INC NPI 1467564757


NPI Information

NPI: 1467564757
Provider Name: KOREA MEDICAL GROUP INC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
3544 W OLYMPIC BLVD STE 105
LOS ANGELES, CA
ZIP 90019
Phone: (323) 731-0681
Get Directions

KOREA MEDICAL GROUP INC is a gastroenterology internal medicine in Los Angeles, CA. The provider is 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. KOREA MEDICAL GROUP INC NPI is 1467564757. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3544 W OLYMPIC BLVD STE 105
LOS ANGELES, CA
ZIP 90019-529
Phone: (323) 731-0681
Fax: (323) 731-0832

The provider's authorized official is Yong Tai Lee .
The authorized official title is Director and has the following contact phone number (323) 731-0681.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 12/12/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyG67974CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0090150MEDICAIDCALIFORNIA
2=========OTHERCALIFORNIAFEDERAL TAX ID NBR
3W15307MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE GROUP ID#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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