Organization Active NPI

Yunan Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1104850882
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A35807 Issued in CA
Legal business name
YUNAN RADIOLOGY MEDICAL GROUP INC
Practice address
903 S Crenshaw Blvd
Suite 101
Los Angeles, CA 90019-1965
Phone
(323) 954-0145
Fax
(323) 954-0270
NPI assigned
Jul 10, 2006
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Seong Soo Yoon, MDNPI 1376768192
Title
President
Phone
(323) 954-0145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X A35807 CA Primary

Addresses

Primary practice location

903 S Crenshaw Blvd
Suite 101
Los Angeles, CA 90019-1965

Mailing address

903 S Crenshaw Blvd
Suite 101
Los Angeles, CA 90019-1965
Phone (323) 954-0145

National Provider Directory

National Provider Directory

Locations

903 Crenshaw Blvd
Ste 101
Los Angeles, CA 90019
Phone (323) 549-0100

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1104850882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 S CRENSHAW BLVD",
            "address_2": "SUITE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191965",
            "telephone_number": "323-954-0145",
            "fax_number": "323-954-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S CRENSHAW BLVD",
            "address_2": "SUITE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191965",
            "telephone_number": "323-954-0145",
            "fax_number": "323-954-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUNAN RADIOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "SEONG",
        "authorized_official_middle_name": "SOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-954-0145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A35807",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 4, 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.