PAUL SUCGANG, D.O., INC (NPI# 1225376213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225376213 |
| Entity Type | Organization |
| Organization Name | PAUL SUCGANG, D.O., INC |
| Other Organization Name | ACEVEDO FAMILY MEDICINE |
| Practice Address |
1830 W Olympic Blvd Suite 124 Los Angeles CA 90006-3734 |
| Mailing Address |
416 W Las Tunas Dr San Gabriel CA 91776-1236 |
| Practice Telephone | 2136379080 |
| Mailing Telephone | 6263898448 |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |
| Authorized Official Name | DR. PAUL SUCGANG (PRESIDENT) |
| Authorized Official Telephone | 6263898448 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A9629 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Acevedo Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023356268 | Paul Sucgang, D.o., Inc | Family Medicine | 1818 N Orange Grove Ave, Suite 305, Pomona, CA 91767-3028 | 2013-01-23 |
| 1508178930 | Paul Sucgang, D.o., Inc | Family Medicine | 416 W Las Tunas Dr, 201, San Gabriel, CA 91776-1236 | 2010-07-14 |
| Street Address |
1830 W OLYMPIC BLVD SUITE 124 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90006-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568509669 | Dynamics Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1830 W Olympic Blvd, Suite #123, Los Angeles, CA 90006-3734 | 2007-01-30 |
| 1730569229 | New Rose Home Health Care, Inc. | Home Health | 1830 W Olympic Blvd, Unit 206, Los Angeles, CA 90006-3734 | 2015-06-01 |
| 1609280346 | Los Angeles Community Clinic, Inc. | Clinic/Center | 1830 W Olympic Blvd, Suite 124, Los Angeles, CA 90006-3734 | 2014-06-19 |
| 1982888152 | Keyvan Amirikhorheh | General Practice | 1830 W Olympic Blvd, Unit 124, Los Angeles, CA 90006-3734 | 2007-12-24 |
| 1538348727 | Manuel Acevedo Medical Group, A Medical Corporation | General Practice | 1830 W Olympic Blvd, Ste. 124, Los Angeles, CA 90006-3734 | 2007-10-24 |
| 1164564688 | Dynamics Walkagain Rehab Inc. | Physical Therapist | 1830 W Olympic Blvd, Ste 130, Los Angeles, CA 90006-3734 | 2007-02-12 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1376159939 | Margarette Morney-kuanyawo | Family Medicine | 515 S Fuller Ave, Los Angeles, CA 90036-3244 | 2020-09-18 |
| 1780207803 | Julia Solis | Family Medicine | 1414 S Grand Ave Ste 200&380, Los Angeles, CA 90015-3067 | 2020-05-22 |
| 1033739578 | Now Medical | Family Medicine | 1333 S Hill St, Los Angeles, CA 90015-3012 | 2020-04-24 |
| 1710514930 | Los Angeles Medical Center Foundation | Family Medicine | 2010 Wilshire Blvd Fl 2, Los Angeles, CA 90057-3507 | 2020-03-26 |
| 1740817212 | Quality Medical Group Inc | Family Medicine | 5230 Pacific Concourse Dr Ste 110, Los Angeles, CA 90045-6258 | 2020-03-25 |
| 1760012108 | Majid Sabour Md. PC. | Family Medicine | 1125 S Beverly Dr Ste 420, Los Angeles, CA 90035-1191 | 2020-01-24 |
| 1164061461 | Sequoia Quality Health Inc | Family Medicine | 2007 Wilshire Blvd Fl 3, Los Angeles, CA 90057-3519 | 2020-01-03 |
| 1437792447 | Northeast Community Clinic | Family Medicine | 1414 S Grand Ave Ste 300, Los Angeles, CA 90015-3072 | 2019-10-22 |
| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90006 |
Please comment or provide details below to improve the information on PAUL SUCGANG, D.O., 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.