Biomega Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF 11218 Issued in CA

Legal business name

BIOMEGA CORPORATION

Practice address

4426 Cerritos Ave
Los Alamitos, CA 90720-2549

Phone

(714) 761-7200

Fax

(714) 761-5225

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sung H. Kim, M.D.

Title

Laboratory Director

Phone

(714) 761-7200

Specialties & licenses 1

Addresses

Other names 1

• PSL (Preferred Specialty Laboratory) Doing business as

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184834038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 CERRITOS AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202549",
            "telephone_number": "714-761-7200",
            "fax_number": "714-761-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4426 CERRITOS AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202549",
            "telephone_number": "714-761-7200",
            "fax_number": "714-761-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOMEGA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "714-761-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 11218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSL (Preferred Specialty Laboratory)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johannes A. Bernbeck, MD
• Samuel S Berro, D.D.S
• Vichai Bhoopat, M.D.
• Kristin A Biddle, R.D.
• Biogene Diagnostics Inc.
• Bizhan Eshaghzadeh&Dalia Niknam DDS PC
• Elizabeth Black
• Blackburn WC DMD
• Richard Blackburn, DMD
• Stan R. Blackwell, A.B.O.C.

• Clinical Medical Laboratory in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.