Geneva Medical Group, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GENEVA MEDICAL GROUP, INC.

Practice address

3160 Geneva St
Los Angeles, CA 90020-1117

Phone

(213) 388-6168

Fax

(213) 388-7168

NPI assigned

Apr 12, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kyung Cho

Title

Ceo

Phone

(213) 388-6168

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1245972892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WILSHIRE BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102903",
            "telephone_number": "213-388-6168",
            "fax_number": "213-388-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 GENEVA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201117",
            "telephone_number": "213-388-6168",
            "fax_number": "213-388-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "KYUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-388-6168",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.