Organization Active NPI

Grand Gi & Endoscopy Group, Inc.

Doing business as Yonsei Endoscopy Center

  • Endoscopy Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1033537949
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
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

Updated by the provider on Mar 31, 2014

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.NPI 1295915585
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

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": "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

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.

Verify at the official NPI Registry.