Organization Active NPI

Moses Hyun, M.D Inc.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1043238769
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A40302 Issued in CA
Legal business name
MOSES HYUN, M.D INC.
Practice address
966 S Western Ave
Ste 204
Los Angeles, CA 90006-1013
Phone
(323) 735-1300
Fax
(323) 735-6734
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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

Authorized official

Name
Moses Hyun, M.D.
Title
Owner, M.D.
Phone
(323) 735-1300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A40302 CA Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X A40302 CA
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X A40302 CA

Addresses

Primary practice location

966 S Western Ave
Ste 204
Los Angeles, CA 90006-1013

Mailing address

966 S Western Ave
Ste 204
Los Angeles, CA 90006-1013
Phone (323) 735-1300

Other identifiers 1

IdentifierTypeStateIssuer
00A403020MedicaidCA

National Provider Directory

National Provider Directory

Locations

966 S Western Ave
Ste 204
Los Angeles, CA 90006
Phone (323) 735-1300

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191801600000",
    "number": "1043238769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 S WESTERN AVE",
            "address_2": "STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061013",
            "telephone_number": "323-735-1300",
            "fax_number": "323-735-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 S WESTERN AVE",
            "address_2": "STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061013",
            "telephone_number": "323-735-1300",
            "fax_number": "323-735-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES HYUN, M.D INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-10-08",
        "status": "A",
        "authorized_official_last_name": "HYUN",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "OWNER, M.D.",
        "authorized_official_telephone_number": "323-735-1300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A40302",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A40302",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A40302",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A403020",
            "state": "CA"
        }
    ],
    "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 Oct 8, 2007; 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.