Medex Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G77879 Issued in CA

Legal business name

MEDEX MEDICAL GROUP INC

Practice address

127-B W Las Tunas Dr.
San Gabriel, CA 91776

Phone

(626) 457-8600

NPI assigned

Jul 9, 2006

Last updated

Apr 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Le-Young LeeNPI 1861417586

Title

Owner

Phone

(626) 457-8600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Le-Young Lee, MD

  • Internal Medicine Physician
  • San Gabriel, CA
  • NPI 1861417586
  Medicare reassignment NPD Authorized official
• Julia Chaw-Chih Lee, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1891899456
  Medicare reassignment NPD
• Van Hua, M.D.

  • Internal Medicine Physician
  • Alhambra, CA
  • NPI 1215175120
  NPD (past)
• Yvonne Yanchiu Yu Wu, MSN, DNP, FNP-C

  • Primary Care Clinic/Center
  • Orange, CA
  • NPI 1154550986
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1063445435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127-B W LAS TUNAS DR.",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-457-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127-B W LAS TUNAS DR.",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-457-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LE-YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-457-8600"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G77879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maternal Fetal Medicine Medical Group of Southern California
• Katelyn Mathewson
• Maximum Physical Therapy
• Ciera McKay
• Melissa Medel
• Medicine Shoppe
• Ishna Selena Medina, CMT
• Vikanda Meechan
• Robert J Mehler, M.D.
• Anna Melomud, M.D.

• Internal Medicine Physician in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.