LEE & BAE GI MEDICAL CORPORATION (NPI# 1619181765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619181765 |
| Entity Type | Organization |
| Organization Name | LEE & BAE GI MEDICAL CORPORATION |
| Other Organization Name | WILSHIRE ENDOSCOPY CENTER |
| Practice Address |
3200 Wilshire Blvd Ste 101 Los Angeles CA 90010-1307 |
| Practice Telephone | 2137399988 |
| Practice Fax Number | 2137390030 |
| Mailing Telephone | 2137399988 |
| Mailing Fax Number | 2137390030 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2015-05-12 |
| Authorized Official Name | DR. HO S BAE (PRESIDENT) |
| Authorized Official Telephone | 2137399988 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wilshire Endoscopy Center | Doing Business As Name - Organization |
| Street Address |
3200 WILSHIRE BLVD STE 101 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90010-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454204 | Sage Minds | Psychiatry & Neurology | 3860 Wilshire Blvd, P04-1188, Los Angeles, CA 90010 | 2020-07-07 |
| 1629602750 | Shalva, A Psychology Corporation | Counselor | 4221 Wilshire Boulevlard, Suite 170b, Los Angeles, CA 90010 | 2020-02-27 |
| 1609346287 | Leticia Arteaga | Marriage & Family Therapist | 3580 Wilshire Blvd Suite 800, Los Angeles, CA 90010 | 2018-11-27 |
| 1891265559 | Maria Nguyen | Case Manager/Care Coordinator | 3424 Wilshire Blvd Ste 1000, Los Angeles, CA 90010 | 2018-11-26 |
| 1568955474 | Cherie Emi Okada | Student in an Organized Health Care Education/Training Program | 358 Wilshire Blvd, Suite 2000, Los Angeles, CA 90010 | 2018-06-14 |
| 1780101832 | Bj Park, Chiropractic | Acupuncturist | 3020 Wilshire Blvd., Suite 220, Los Angeles, CA 90010 | 2017-08-29 |
| 1952828188 | Karin Alm | Case Manager/Care Coordinator | 3580 Wilshire Blvd., Suite 2000, Los Angeles, CA 90010 | 2017-08-28 |
| 1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
| 1770032690 | Astghik Harutyunyan | Special Hospital | 3699 Wilshire Blve, Los Angeles, CA 90010 | 2016-10-04 |
| 1629446281 | Praveena Chinniah | Behavioral Analyst | 4221 Wilshire Blvd., Suite 300a, Los Angeles, CA 90010 | 2015-09-11 |
| Find all providers in zip 90010 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457449498 | Augusto Rojas M.d, Inc | Clinic/Center | 11961 Venice Blvd, Los Angeles, CA 90066-3905 | 2006-10-11 |
| 1629009071 | Endoscopy Center of Santa Monica LLC | Clinic/Center | 12400 Wilshire Blvd, Suite 100, Los Angeles, CA 90025-1019 | 2006-07-05 |
| 1033537949 | Grand Gi & Endoscopy Group, Inc. | Clinic/Center | 505 S Virgil Ave, Suite 104, Los Angeles, CA 90020-1406 | 2014-03-29 |
| 1871914291 | Grand Gi & Endoscopy Group, Inc. | Clinic/Center | 505 S Virgil Ave, Suite 104, Los Angeles, CA 90020-1406 | 2014-01-02 |
| 1366554495 | Century City Endoscopy LLC | Clinic/Center | 2080 Century Park E, #1200, Los Angeles, CA 90067-2001 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518592021 | First Surgery Center, Inc. | Clinic/Center | 31625 De Portola Rd Ste 102, Temecula, CA 92592-2770 | 2020-03-04 |
| 1316231020 | Desert View Endoscopy Center, LLC. | Clinic/Center | 12595 Hesperia Rd, Suite 100, Victorville, CA 92395-5882 | 2011-05-31 |
| 1174715445 | Digestive Health Center of Thousand Oaks, LLC | Clinic/Center | 3510 N Moorpark Rd Ste 101, Thousand Oaks, CA 91360-2688 | 2007-08-10 |
| 1336292853 | University of California, San Francisco | Clinic/Center | 400 Parnassus Ave, A-655, San Francisco, CA 94143-0338 | 2007-01-19 |
| 1912069832 | Endoscopy Services, Inc | Clinic/Center | 700 Garden View Ct Ste 101, Encinitas, CA 92024-2478 | 2006-12-15 |
| 1336247642 | Pasadena Endoscopy Center Inc | Clinic/Center | 55 W Valley St, Pasadena, CA 91105-2015 | 2006-09-20 |
| 1821019738 | Santa Barbara Endoscopy Center LLC | Clinic/Center | 25 W Micheltorena St, Santa Barbara, CA 93101-2509 | 2006-07-23 |
| 1497788145 | Endoscopy Center of Southern California | Clinic/Center | 2336 Santa Monica Blvd Ste 376, Santa Monica, CA 90404-2095 | 2006-07-08 |
| 1700816733 | Advanced Endoscopy Center Inc | Clinic/Center | 386 W Olive Ave, Suite B, Merced, CA 95348-3137 | 2006-07-04 |
| 1376592014 | Roseville Endoscopy Center, LLC | Clinic/Center | 4 Medical Plaza Dr, Suite #210, Roseville, CA 95661-2815 | 2006-05-09 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90010 |
Please comment or provide details below to improve the information on LEE & BAE GI MEDICAL CORPORATION.
| 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.