Cerritos Endoscopic Medical Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

W22596

Legal business name

CERRITOS ENDOSCOPIC MEDICAL CENTER, INC.

Practice address

11845 South St
Cerritos, CA 90703-6825

Phone

(562) 809-8082

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jaesoo Pak, MDNPI 1023124054

Title

Medical Director

Phone

(562) 809-8082

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jaesoo Pak, M.D.

  • Gastroenterology Physician
  • Cerritos, CA
  • NPI 1023124054
  NPD (past) Authorized official

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1033226600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11845 SOUTH STREET",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "562-809-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11845 SOUTH ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036825",
            "telephone_number": "562-809-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERRITOS ENDOSCOPIC MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "JAESOO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-809-8082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": "W22596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilia Cerdas
• Oscar Cerezo
• Cerritos 2020 Optometry a Proffesional Optometric Corporatio
• Cerritos Congregate Living Corporation
• Cerritos Dialysis Center LLC
• Cerritos Eye Medical Center, Inc.
• Cerritos Family Denal Center
• Cerritos Home Care Inc
• Cerritos Medical Center, Inc
• Cerritos Physical Therapy & Rehabilitation, Inc.

• Ambulatory Surgical Clinic/Center in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.