Advanced Ophthalmology Group, Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A75260 Issued in CA

Legal business name

ADVANCED OPHTHALMOLOGY GROUP, INC

Practice address

18453 Colima Rd
Suite B
Rowland Heights, CA 91748-5816

Phone

(626) 913-0042

Fax

(626) 913-7271

NPI assigned

Feb 25, 2008

Last updated

Feb 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Choong Hwan Lee, MD

Title

President

Phone

(626) 913-0042

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1184893083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18453 COLIMA RD",
            "address_2": "SUITE B",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917485816",
            "telephone_number": "626-913-0042",
            "fax_number": "626-913-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18453 COLIMA RD",
            "address_2": "SUITE B",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917485816",
            "telephone_number": "626-913-0042",
            "fax_number": "626-913-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED OPHTHALMOLOGY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CHOONG HWAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-913-0042",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A75260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.