IRRADIANCE MEDICAL GROUP INC (NPI# 1740213198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740213198 |
| Entity Type | Organization |
| Organization Name | IRRADIANCE MEDICAL GROUP INC |
| Practice Address |
420 E 3rd St Ste 805 Los Angeles CA 90013-1646 |
| Practice Telephone | 2136873214 |
| Practice Fax Number | 2136870622 |
| Mailing Telephone | 2136873214 |
| Mailing Fax Number | 2136870622 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | DR. CHRISTOPHER TSUNG LUNG HO (OWNER) |
| Authorized Official Telephone | 2136873214 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A55242 | CA | Allopathic & Osteopathic Physicians |
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
G77152 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G771521 | 05 |
| Street Address |
420 E 3RD ST STE 805 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90013-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477036895 | Cheiny Shiau | Physician Assistant | 420 E 3rd St Ste 805, Los Angeles, CA 90013-1646 | 2018-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013470327 | Mia Rashap | Technician, Other | 555 W 5th St, Los Angeles, CA 90013 | 2019-04-12 |
| 1992263941 | Shiane Lyana Ferretti | Technician, Other | 555 West 5th Street, Los Angeles, CA 90013 | 2019-03-08 |
| 1629567060 | Dtla Med | Clinic/Center | 431 S Hewitt St Ste B, Los Angeles, CA 90013 | 2018-05-01 |
| 1386150886 | Abel Joseph Apodaca Jr. | Counselor | 512 East 4th Street, Los Angeles, CA 90013 | 2017-12-19 |
| 1578075560 | Anthony Perez | Case Manager/Care Coordinator | 522 S San Pedro, Los Angeles, CA 90013 | 2017-10-30 |
| 1740724574 | Royalty Group Services Inc | Clinic/Center | 555 West Fifth Street 31st Floor, Los Angeles, CA 90013 | 2016-12-13 |
| 1275930877 | Araceli Zuniga | Rehabilitation Practitioner | 640 South Maple Avenue, Los Angeles, CA 90013 | 2014-11-25 |
| 1558785956 | Carlos Mejia | Counselor | 470 E. 3rd St., Los Angeles, CA 90013 | 2014-02-06 |
| 1679908081 | Troy Gabrielson | Counselor | 470 E. 3rd Street, Suite C, Los Angeles, CA 90013 | 2013-09-05 |
| 1417298753 | Pierre Houbein | Physician Assistant | 311 Winston St., Los Angeles, CA 90013 | 2013-03-12 |
| Find all providers in zip 90013 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175006 | Lms Medical Services | Dermatology | 1118 N Mccadden Pl, Los Angeles, CA 90038-1213 | 2020-08-17 |
| 1023183258 | Leonard H Kim | Dermatology | 2080 Century Park E Ste 401, Los Angeles, CA 90067 | 2006-11-22 |
| 1245698752 | Skinstyle Dermatology, Inc. | Dermatology | 2990 S Sepulveda Blvd, Suite 300, Los Angeles, CA 90064-0002 | 2016-01-29 |
| 1083954226 | Rebecca Fitzgerald M.d., Inc. | Dermatology | 321 N Larchmont Blvd, Suite 906, Los Angeles, CA 90004-3025 | 2013-02-25 |
| 1497070510 | Jeanette Marie Black | Dermatology | 9201 W Sunset Blvd, Suite 602, Los Angeles, CA 90069-3701 | 2010-03-31 |
| 1164643839 | Goldman Dubow Medical Group | Dermatology | 8631 W 3rd St, 635 East, Los Angeles, CA 90048-5901 | 2007-05-01 |
| 1659418721 | Leonard H Kim Md Medical Corp | Dermatology | 2080 Century Park E Ste 401, Los Angeles, CA 90067 | 2007-01-30 |
| 1992867758 | Harvey Abrams | Dermatology | 5757 Wilshire Blvd, Promenade 2, Los Angeles, CA 90036-5810 | 2006-12-15 |
| 1629174818 | Edgar Fincher Md, Incorporated | Dermatology | 100 Ucla Medical Plz, Suite 590, Los Angeles, CA 90024-6970 | 2006-09-15 |
| 1942305487 | Michelle H. Lee | Dermatology | 8631 W 3rd St, Suite 1035 East, Los Angeles, CA 90048-5901 | 2006-09-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90013 |
Please comment or provide details below to improve the information on IRRADIANCE MEDICAL GROUP 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.