The Sue Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G48679 Issued in CA

Legal business name

THE SUE MEDICAL GROUP

Practice address

2080 Century Park E
Suite 1605
Los Angeles, CA 90067-2001

Phone

(310) 556-2244

Fax

(310) 556-4675

NPI assigned

Jan 2, 2013

Organization subpart

No

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

Authorized official

Name

Ronald Sue, M.D.

Title

President

Phone

(310) 556-2244

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1174869671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1605",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-556-2244",
            "fax_number": "310-556-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1605",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-556-2244",
            "fax_number": "310-556-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SUE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "SUE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-556-2244",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G48679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1932193893",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Source Health and Wellness Treatment Center
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• The Sportsmed Company
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• The Surgery Group of Los Angeles PC
• The Therapeutic Dojo Psychotherapy Services a Professional Licensed CL
• The Therapeutic Play Foundation Inc.
• The Therapeutic Play Foundation Inc.
• The Therapeutic Play Foundation Inc.

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.