Organization Active NPI

Yonsei Pain Clinic Inc

  • Pain Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1245545789
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
C53318 Issued in CA
Legal business name
YONSEI PAIN CLINIC INC
Practice address
300 S Hobart Blvd Ste 210
Los Angeles, CA 90020-3662
Phone
(213) 444-6255
Fax
(866) 611-7731
NPI assigned
Aug 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Philip Doh, M.D.NPI 1679511638
Title
Owner
Phone
(213) 718-1717

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
Pain Clinic/Center 261QP3300X C53318 CA Primary

Addresses

Primary practice location

300 S Hobart Blvd Ste 210
Los Angeles, CA 90020-3662

Mailing address

300 S Hobart Blvd Ste 210
Los Angeles, CA 90020-3662
Phone (213) 444-6255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110419000416 CA Part B Supplier - Clinic/Group Practice 0042495947 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

1401 S Brookhurst Rd
Ste 123
Fullerton, CA 92833
Phone (714) 364-5834

9618 Garden Grove Blvd
Ste 214
Garden Grove, CA 92844
Phone (563) 650-0115

300 S Hobart Blvd
Ste 210
Los Angeles, CA 90020
Phone (213) 444-6255

300 S Hobart Blvd
Ste 210203
Los Angeles, CA 90020

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": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245545789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S HOBART BLVD STE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203662",
            "telephone_number": "213-444-6255",
            "fax_number": "866-611-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S HOBART BLVD STE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203662",
            "telephone_number": "213-444-6255",
            "fax_number": "866-611-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONSEI PAIN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DOH",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-718-1717",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "C53318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

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