NPIMap

Organization Active NPI

Advanced SLP Corp

  • Rehabilitation Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1154860088
Registry record updated Feb 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
0002515112-0001-9 Issued in CA
Legal business name
ADVANCED SLP CORP
Practice address
4023 Wasatch Ave
Los Angeles, CA 90066-4818
Phone
(310) 398-2082
NPI assigned
Feb 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2017

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

Authorized official

Name
Hye Won Lee
Title
Ceo
Phone
(310) 398-2082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 0002515112-0001-9 CA Primary

Addresses

Primary practice location

4023 Wasatch Ave
Los Angeles, CA 90066-4818

Mailing address

4023 Wasatch Ave
Los Angeles, CA 90066-4818

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486857600000",
    "number": "1154860088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 WASATCH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900664818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 WASATCH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900664818",
            "telephone_number": "310-398-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SLP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-12",
        "last_updated": "2017-02-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HYE WON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-398-2082"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CA",
            "license": "0002515112-0001-9",
            "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 Feb 12, 2017; 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.