CALIFORNIA GERONTOLOGY CLINIC (NPI# 1073135406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073135406 |
Entity Type | Organization |
Organization Name | CALIFORNIA GERONTOLOGY CLINIC |
Practice Address |
1042 S Kingsley Dr Ste 3 Los Angeles CA 90006-2408 |
Mailing Address |
4216 Evergreen Ln Ste 121 Annandale VA 22003-3256 |
Practice Telephone | 2133404799 |
Practice Fax Number | 7036626165 |
Mailing Telephone | 2133404799 |
Mailing Fax Number | 7036626165 |
Enumeration Date | 2020-05-07 |
Last Update Date | 2020-08-14 |
Authorized Official Name | JIHO CHOI (OWNER) |
Authorized Official Telephone | 2133404799 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
1042 S KINGSLEY DR STE 3 |
City | LOS ANGELES |
State | CA |
Zip Code | 90006-2408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
1053895565 | Lili Mirtorabi D.d.s A Professional Corporation | Dentist | 2368 Pico Boulevard, Los Angeles, CA 90006 | 2018-09-20 |
1083192116 | Sanghee Hong | Nurse Practitioner | 2655 W Olympic Blvd Ste 101, Los Angeles, CA 90006 | 2018-07-31 |
1134638919 | Joon Hyung Kim | Chiropractor | 3130 W. Olympic Blvd., Suite 350, Los Angeles, CA 90006 | 2017-09-25 |
1578082988 | Judy Lee | Behavior Technician | 900 South Serrano Ave #401, Los Angeles, CA 90006 | 2017-09-18 |
1689126773 | Seungah Madison Lee | Acupuncturist | 3053 W. Olympic Blvd, #311, Los Angeles, CA 90006 | 2016-10-25 |
1790149789 | Kihyun Kim | Acupuncturist | 975 S. Vermont Ave, #201, Los Angeles, CA 90006 | 2016-04-06 |
1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
1376916817 | Global Eastern Medicine Group | Acupuncturist | 1010 S. Fedora St. #101, Los Angeles, CA 90006 | 2015-11-05 |
Find all providers in zip 90006 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780105874 | Immediate Housecalls In California | Family Medicine | 828 S Main St, Los Angeles, CA 90014-2002 | 2017-06-29 |
1366839656 | Vital Health Medical Group, Inc. | Family Medicine | 1711 W Temple St Ste 1070, Los Angeles, CA 90026-5421 | 2015-04-24 |
1982038774 | Robert Lester Horowitz | Family Medicine | 6155 S. Shenandoah Ave, Los Angeles, CA 90056-2020 | 2013-08-28 |
1083055545 | Visiting Physicians of California | Family Medicine | 2300 Westwood Blvd, Suite 102, Los Angeles, CA 90064-2015 | 2013-07-12 |
1669607511 | Mairead J Torsney-weir | Family Medicine | 6267 Tipton Way, Los Angeles, CA 90042-1361 | 2009-05-21 |
1467606079 | Thinzar Aung Htut | Family Medicine | 1400 S Grand Avenue, Suite 101, Los Angeles, CA 90015 | 2008-11-10 |
1679734479 | Francisco Antonio Campabadal | Family Medicine | 5425 Pomona Blvd., Los Angeles, CA 90022 | 2008-06-24 |
1700297710 | Andrea Cabello Cise | Family Medicine | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2014-05-13 |
1518389360 | Marcel S Filart Md Inc | Family Medicine | 1300 N Vermont Ave, Senior Care Center, Los Angeles, CA 90027-6005 | 2014-01-14 |
1972845220 | Mahsa Yazdan Bakhsh | Family Medicine | 1530 S Olive St, Los Angeles, CA 90015-3023 | 2013-03-25 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90006 |
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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.