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KENJI IRIE MD NPI 1689778128


NPI Information

NPI: 1689778128
Provider Name: KENJI IRIE, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 05D0857492

Address:
420 E THIRD ST
SUITE 903
LOS ANGELES, CA
ZIP 90013
Phone: (213) 617-0266
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Kenji Irie, MD is a general practice in Los Angeles, CA. Kenji Irie, MD NPI is 1689778128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

420 E THIRD ST
SUITE 903
LOS ANGELES, CA
ZIP 90013
Phone: (213) 617-0266
Fax: (213) 617-7332

The NPI 1689778128 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0857492 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Urinalysis, manual test (HCPCS:81002)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Stool analysis for blood to screen for colon tumors (HCPCS:82270)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 9/12/2006 and was last updated on 7/8/2007.


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
1208D00000XGeneral PracticeA30886CALIFORNIAYes

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
1A30886MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2A26270MEDICARE UPIN

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.