Active NPI
Westwood Medical Group,Inc.
- Rheumatology Physician
- Los Angeles, CA
National Provider Identifier
1124104427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- A78556
- Legal business name
- WESTWOOD MEDICAL GROUP,INC.
- Practice address
- 505 S Virgil Ave
Suite 208
Los Angeles, CA 90020-1415 - Phone
- (213) 739-0007
- Fax
- (213) 739-0011
- NPI assigned
- Oct 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sonwoo Lee, MD
- Title
- Medical Director
- Phone
- (213) 739-0007
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A78554 | CA | |
| Rheumatology Physician | 207RR0500X | A78556 | CA | Primary |
Addresses
Primary practice location
505 S Virgil Ave
Suite 208
Los Angeles, CA 90020-1415
Mailing address
505 S Virgil Ave
Suite 208
Los Angeles, CA 90020-1415
Phone (213) 739-0007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1067350 | Westwood Medical Group | Certificate of waiver | Apr 16, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Los Angeles, CA
- NPI 1336168616
-
- Rheumatology Physician
- Los Angeles, CA
- NPI 1235242199
-
- Gastroenterology Physician
- Los Angeles, CA
- NPI 1134205099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400544000000",
"number": "1124104427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 S VIRGIL AVE",
"address_2": "SUITE 208",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201415",
"telephone_number": "213-739-0007",
"fax_number": "213-739-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S VIRGIL AVE",
"address_2": "SUITE 208",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201415",
"telephone_number": "213-739-0007",
"fax_number": "213-739-0011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTWOOD MEDICAL GROUP,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-29",
"last_updated": "2014-05-20",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "SONWOO",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "213-739-0007",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A78554",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "A78556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Westwood Healing Center
- Westwood Healthcare & Wellness Centre LP
- Westwood Healthcare Center, LLC
- Westwood Institute for Anxiety Disorders
- Westwood Kids Dental a Professional Dental Corporation
- Westwood Open MRI, LLC
- Westwood Surgery Center
- Westwood Surgical Institute, a Professional Corporation
- Westwood-Hollywood Psychological Services Inc
- Westwwood Physicians Group, a Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.