Active NPI
Seon Ho Whang
- Rheumatology Physician
- Los Angeles, CA
National Provider Identifier
1043305394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- A38291
- Practice address
- 3663 W 6TH St Ste 106
Los Angeles, CA 90020-3047 - Phone
- (213) 381-7272
- Fax
- (213) 529-4117
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | A38291 | CA | Primary |
Addresses
Primary practice location
3663 W 6TH St Ste 106
Los Angeles, CA 90020-3047
Mailing address
3663 W 6TH St Ste 100
Los Angeles, CA 90020-3047
Phone (213) 381-7272
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A382970 | Medicaid | CA | |
| A38291 | Other | CA | PROFESSIONAL LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A38291 | CA | MD | Rheumatology Physician |
| 38291 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1043305394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3663 W 6TH ST STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203047",
"telephone_number": "213-381-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3663 W 6TH ST STE 106",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203047",
"telephone_number": "213-381-7272",
"fax_number": "213-529-4117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHANG",
"first_name": "SEON",
"middle_name": "HO",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "A38291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A382970",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE #",
"identifier": "A38291",
"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 Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.