Organization Active NPI

George C. in, M.D., Inc.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1023117553
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A048565 Issued in CA
Legal business name
GEORGE C. IN, M.D., INC.
Practice address
500 S Virgil Ave Ste 501
Los Angeles, CA 90020-1450
Phone
(323) 735-7700
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George C In, M.D.NPI 1902835077
Title
M.D.
Phone
(323) 735-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A048565 CA Primary

Addresses

Primary practice location

500 S Virgil Ave Ste 501
Los Angeles, CA 90020-1450

Mailing address

500 S Virgil Ave Ste 501
Los Angeles, CA 90020-1450
Phone (323) 735-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061024000637 CA Part B Supplier - Clinic/Group Practice 9133126774 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

500 S Virgil Ave
Ste 501
Los Angeles, CA 90020
Phone (323) 735-7700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1023117553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S VIRGIL AVE STE 501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201450",
            "telephone_number": "323-735-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S VIRGIL AVE STE 501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201450",
            "telephone_number": "323-735-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE C. IN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "IN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "323-735-7700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A048565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.