Sung Ha Ryoo M D Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A32405 Issued in CA

Legal business name

SUNG HA RYOO M D INC

Practice address

2250 Gladstone Dr Ste 1
Pittsburg, CA 94565-5124

Phone

(925) 432-8422

Fax

(925) 432-8264

NPI assigned

Nov 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sung Ha Ryoo, M.D.

Title

Owner

Phone

(925) 432-8422

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1114228715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 GLADSTONE DR STE 1",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655124",
            "telephone_number": "925-432-8422",
            "fax_number": "925-432-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 GLADSTONE DR STE 1",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655124",
            "telephone_number": "925-432-8422",
            "fax_number": "925-432-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG HA RYOO M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "RYOO",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "HA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-432-8422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A32405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A324050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Pittsburg, CA
• Providers in Pittsburg, 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 Nov 12, 2010; 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.