Active NPI
Grand Gi & Endoscopy Group, Inc.
Doing business as Yonsei Endoscopy Center
- Endoscopy Clinic/Center
- Los Angeles, CA
National Provider Identifier
1033537949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- Legal business name
- GRAND GI & ENDOSCOPY GROUP, INC.
- Doing business as
- Yonsei Endoscopy Center
- Practice address
- 505 S Virgil Ave
Suite 104
Los Angeles, CA 90020-1406 - Phone
- (213) 381-3590
- Fax
- (213) 381-3593
- NPI assigned
- Mar 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dae Soon Rheem, M.D., PH.D.
- Title
- President
- Phone
- (213) 381-3590
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | Primary |
Addresses
Primary practice location
505 S Virgil Ave
Suite 104
Los Angeles, CA 90020-1406
Mailing address
1646 Glorietta Ave
Glendale, CA 91208-2010
Phone (213) 381-3590
Other names 1
- Yonsei Endoscopy Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Los Angeles, CA
- NPI 1295915585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396224000000",
"number": "1033537949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1646 GLORIETTA AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912082010",
"telephone_number": "213-381-3590",
"fax_number": "213-381-3593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S VIRGIL AVE",
"address_2": "SUITE 104",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201406",
"telephone_number": "213-381-3590",
"fax_number": "213-381-3593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND GI & ENDOSCOPY GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-29",
"last_updated": "2014-03-31",
"status": "A",
"authorized_official_last_name": "RHEEM",
"authorized_official_first_name": "DAE",
"authorized_official_middle_name": "SOON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-381-3590",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., PH.D."
},
"taxonomies": [
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Yonsei Endoscopy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
- Anna Granat
- Grancare LLC (Skyline Healthcare Center - Los Angeles)
- Grand Anesthesia and Nursing Services Inc
- Grand Avenue Imaging
- Grand Avenue Surgery Center, LLC
- Grand Gi & Endoscopy Group, Inc. (Grand Endoscopy Center)
- Grand Park SNF Operator LLC
- Grand Pharmacy., Inc
- Grand Pharmacy., Inc
- Grand Solutions Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.