PACIFIC ALLIANCE MEDICAL CENTER, INC (NPI# 1730558941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730558941 |
Entity Type | Organization |
Organization Name | PACIFIC ALLIANCE MEDICAL CENTER, INC |
Other Organization Name | PACIFIC ALLIANCE MEDICAL GROUP |
Practice Address |
711 W College St Suite #203 Los Angeles CA 90012-1163 |
Practice Telephone | 2138308960 |
Practice Fax Number | 2139720967 |
Mailing Telephone | 2138308960 |
Mailing Fax Number | 2139720967 |
Enumeration Date | 2015-09-17 |
Last Update Date | 2015-09-17 |
Authorized Official Name | SHI-YIN WONG (CHAIRMAN) |
Authorized Official Telephone | 2138306505 |
Authorized Official Credential | M.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
PACIFIC ALLIANCE MEDICAL GROUP | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972551174 | Pacific Alliance Medical Center, Inc | Family Medicine | 4837 Huntington Dr N, Los Angeles, CA 90032-1953 | 2006-05-04 |
1568805802 | Pacific Alliance Medical Center, Inc | Internal Medicine | 711 W College St, Suite#428, Los Angeles, CA 90012-1163 | 2013-04-16 |
Street Address |
711 W COLLEGE ST SUITE #203 |
City | LOS ANGELES |
State | CA |
Zip Code | 90012-1163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972560449 | Kenneth Wayne Johnson | Physical Medicine & Rehabilitation | 711 W College St, Suite M88, Los Angeles, CA 90012-1163 | 2006-04-28 |
1285173336 | Coordinated Care Medical Group | Family Medicine | 711 W College St, Suite 388, Los Angeles, CA 90012-1163 | 2017-02-21 |
1568805802 | Pacific Alliance Medical Center, Inc | Internal Medicine | 711 W College St, Suite#428, Los Angeles, CA 90012-1163 | 2013-04-16 |
1588927552 | Tin Wong | Family Medicine | 711 W College St, Los Angeles, CA 90012-1163 | 2012-06-24 |
1588960538 | Jamie C Lin | Obstetrics & Gynecology | 711 W College St, Suite M88, Los Angeles, CA 90012-1163 | 2011-02-08 |
1497074033 | Luis Javier Vigliarolo | Dentist | 711 W College St, Suite 570, Los Angeles, CA 90012-1163 | 2010-05-21 |
1952638462 | Lulu L. Chen, Md Inc | Family Medicine | 711 W College St, Suite 205, Los Angeles, CA 90012-1163 | 2009-11-05 |
1760626758 | Pacific Hospitalists, Inc | Physical Therapist | 711 W College St, Suite 205, Los Angeles, CA 90012-1163 | 2009-04-22 |
1205072154 | J. W. Duncan Md A Medical Corporation | Specialist | 711 W College St, Suite 625, Los Angeles, CA 90012-1163 | 2008-12-24 |
1700032497 | Daniel Brelian | Internal Medicine | 711 W College St, Suite 203, Los Angeles, CA 90012-1163 | 2008-08-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538654124 | Los Angeles County Children and Families First - Proposition 10 Commis | Case Management | 750 N. Alameda Street, Suite 300, Los Angeles, CA 90012 | 2018-06-26 |
1750886511 | Pain Control Clinic | Acupuncturist | 321 E. 1st St. #220, Los Angeles, CA 90012 | 2018-03-26 |
1891224325 | Brenda D Sazo | Community Health Worker | 1000 N. Alameda St, # 350, Los Angeles, CA 90012 | 2017-06-08 |
1740719012 | Fatemeh Arabpour | Dentist | 505 N Figueroa Apt #534, Los Angeles, CA 90012 | 2017-06-08 |
1033667662 | Olga Witrago | Case Manager/Care Coordinator | 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 | 2016-09-12 |
1902269962 | Samantha Martinez | Licensed Practical Nurse | 701 West Cesar Chavez Av, Los Angeles, CA 90012 | 2016-03-29 |
1760847313 | Maria Emilia Manosa Rosales | Social Worker | 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 | 2015-12-28 |
1609242999 | Hilary Adams | Psychologist | 250 E 1st St Ste 300, Los Angeles, CA 90012 | 2015-08-20 |
1831586288 | Thanh Ngoc Nguyen Trinh | Nurse Practitioner | 180 N Los Angeles St, Los Angeles, CA 90012 | 2015-04-23 |
1760880827 | Bertha Regina Garcia | Licensed Vocational Nurse | 701 W. Cesar E. Chavez Ave Suite201, Los Angeles, CA 90012 | 2014-12-05 |
Find all providers in zip 90012 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
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. |
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487252359 | Westside Gastroenterology and Hepatology | Internal Medicine | 2080 Century Park E Ste 1200, Los Angeles, CA 90067-2015 | 2020-10-13 |
1528571874 | Brelian Medical Inc. | Internal Medicine | 711 W College St Ste 203, Los Angeles, CA 90012-3177 | 2017-11-08 |
1487097119 | Jonathan S Pourmorady | Internal Medicine | 2080 Century Park E Ste 710, Los Angeles, CA 90067-2010 | 2013-04-11 |
1578806089 | David Alexanian | Internal Medicine | 1200 N State Street, Ct-a7d, Los Angeles, CA 90033 | 2013-04-03 |
1942597265 | Inpatient Gastroenterology Services, Inc. | Internal Medicine | 116 S Croft Ave, 301, Los Angeles, CA 90048-3448 | 2011-07-07 |
1609190354 | Alexander H Kim | Internal Medicine | 1828 E Cesar Chavez, Suite 6200, Los Angeles, CA 90033-2585 | 2010-03-24 |
1508008301 | Marvin Anton Perer | Internal Medicine | 2258 The Ter, Los Angeles, CA 90049-1171 | 2009-03-25 |
1285874990 | Hamed Nayeb-hashemi | Internal Medicine | 200 Med Plaza #365, 420, 120, Los Angeles, CA 90095-6082 | 2009-02-20 |
1952553380 | Andrew Heejoon Kim | Internal Medicine | 1414 S Grand Ave Ste 303, Los Angeles, CA 90015-3071 | 2008-10-16 |
1750533261 | Puja Vora Khanna | Internal Medicine | 110 N George Burns Rd, David Building D4063, Los Angeles, CA 90048-1830 | 2008-10-15 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90012 |
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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.