Atlas19 LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ATLAS19 LLC

Practice address

100 S San Gabriel Blvd
San Gabriel, CA 91776-1645

Phone

(626) 628-8008

NPI assigned

Feb 24, 2021

Organization subpart

No

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

Authorized official

Name

Weston Suh

Title

Sole Member

Phone

(626) 628-8008

Specialties & licenses 1

Addresses

Other names 1

• COVID TESTING 24 Doing business as

Locations

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1124612775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 HUNTINGTON DR # 314",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082640",
            "telephone_number": "626-628-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761645",
            "telephone_number": "626-628-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS19 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "WESTON",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "626-628-8008"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COVID TESTING 24",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hugo Ernesto Arroyo
• Asian Youth Center
• Associated Healthcare Management
• Alisara Ateerat, MS
• Atlantic Healthcare
• Sze Wing Cynthia Au Yeung, B.D.S., D.D.S., M.D.
• Michael Maung Aung, DDS
• Avtar S. Kumar, M.D., Inc
• Caitlin R Azus, BA/BS
• Maria Balbuena Nava, BA

• Clinic/Center in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.