Organization Active NPI

Edmund B Foo M D Inc

  • Internal Medicine Physician
  • Hacienda Heights, CA
National Provider Identifier
1164582466
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EDMUND B FOO M D INC
Practice address
1850 S Azusa Ave
Suite 201
Hacienda Heights, CA 91745-6813
Phone
(626) 913-2383
Fax
(626) 913-2013
NPI assigned
Dec 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Authorized official

Name
Dr. Edmund Bong Ling Foo, M.D.NPI 1881726354
Title
President
Phone
(626) 913-2383

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1850 S Azusa Ave
Suite 201
Hacienda Heights, CA 91745-6813

Mailing address

1850 S Azusa Ave
Suite 201
Hacienda Heights, CA 91745-6813
Phone (626) 913-2383

Other names 1

  • EDMUND B FOO M.D. INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edmund B Foo M D Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1164582466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 201",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-913-2383",
            "fax_number": "626-913-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 201",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-913-2383",
            "fax_number": "626-913-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMUND B FOO M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "FOO",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "BONG LING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-913-2383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDMUND B FOO M.D. INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EDMUND B FOO M.D. INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.