NPIMap

Organization Active NPI

Daniel Rheem M.D., Inc.

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1114493301
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DANIEL RHEEM M.D., INC.
Practice address
505 S Virgil Ave Ste 102
Los Angeles, CA 90020-1407
Phone
(213) 381-3630
NPI assigned
Oct 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Dae Soon Rheem, MD
Title
President
Phone
(213) 381-3630

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

505 S Virgil Ave Ste 102
Los Angeles, CA 90020-1407

Mailing address

505 S Virgil Ave Ste 102
Los Angeles, CA 90020-1407

Other names 2

  • Dr. Rheem's gastroenterology clinic Doing business as
  • Yonsei Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daniel Rheem MD Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

505 S Virgil Ave
Ste 102
Los Angeles, CA 90020
Phone (213) 381-3630

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1114493301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201407",
            "telephone_number": "213-381-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL RHEEM M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "RHEEM",
        "authorized_official_first_name": "DAE",
        "authorized_official_middle_name": "SOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-381-3630",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Rheem's gastroenterology clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yonsei Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 2018; 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.