Premier Cardiology and Vascular Institute Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PREMIER CARDIOLOGY AND VASCULAR INSTITUTE INC

Doing business as

Hwanginyong ttatteutan simjangnaegwa

Practice address

3130 W Olympic Blvd Ste 250
Los Angeles, CA 90006-2491

Phone

(213) 528-1111

NPI assigned

Jun 21, 2022

Organization subpart

No

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

Authorized official

Name

Inyong Hwang, MDNPI 1528346111

Title

Presidnet/ MD

Phone

(213) 528-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hwanginyong ttatteutan simjangnaegwa Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Inyong Hwang

  • Cardiovascular Disease Physician
  • Los Angeles, CA
  • NPI 1528346111
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1164153193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 W OLYMPIC BLVD STE 250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 W OLYMPIC BLVD STE 250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062491",
            "telephone_number": "213-528-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARDIOLOGY AND VASCULAR INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "INYONG",
        "authorized_official_title_or_position": "PRESIDNET/ MD",
        "authorized_official_telephone_number": "213-528-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A127657",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hwanginyong ttatteutan simjangnaegwa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnathan Lawrence Pregler, MD
• Teresita Prejillana
• Jateen Prema, MD
• Ishani D Premaratne, MD
• Premier Advantage Health Care PC
• Premier Choice DME
• Premier Emergency Physicians of California Medical Group PC
• Premier Emergency Physicians of California Medical Group PC
• Premier Healthcare and Supplies
• Premier Healthcare Medical Group

• Cardiovascular Disease Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.