Icured Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ICURED MEDICAL GROUP INC

Practice address

720 Paularino Ave Ste 202
Costa Mesa, CA 92626-2940

Phone

(213) 335-8297

NPI assigned

Mar 5, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Peter Lee, MDNPI 1326279605

Title

Owner

Phone

(213) 335-8297

Specialties & licenses 1

Addresses

Other names 1

• Icured Medical Group Inc Other name

Locations

Practitioners 1

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

• Peter Geon Lee, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1326279605
  NPD Authorized official

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646438400000",
    "number": "1033866454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 PAULARINO AVE STE 202",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262940",
            "telephone_number": "213-335-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 PAULARINO AVE STE 202",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262940",
            "telephone_number": "213-335-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICURED MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-335-8297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Icured Medical Group Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rita'Ashley Hyde
• Kaila Lynn Khiev Ibardolaza
• Joanna Stephanie Ibarra
• Lindsey Ibarra
• Catrine Ibrahim Sous, MD
• Jessica Erin Valtairo Ignacio
• Sharon Pentony Ignat, FNP
• Lana Yoshimi Ikeda
• Rachel Sayaka Ikeda
• Young Vin Im

• Specialist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.