Organization Active NPI

Hana Medical Center Inc

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1255664611
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HANA MEDICAL CENTER INC
Practice address
2560 W Olympic Blvd Ste 101B
Los Angeles, CA 90006-2998
Phone
(213) 480-1000
Fax
(213) 386-0211
NPI assigned
Sep 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Kee M Yoon
Title
President
Phone
(213) 480-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2560 W Olympic Blvd Ste 101B
Los Angeles, CA 90006-2998

Mailing address

2560 W Olympic Blvd Ste 101B
Los Angeles, CA 90006-2998
Phone (213) 480-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100422001048 CA Part B Supplier - Clinic/Group Practice 7517094501 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1017185Hana Medical Center2560 W Olympic Blvd, Ste 101B, Los Angeles, CA 90006Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory

Locations

2560 W Olympic Blvd
Ste 101B
Los Angeles, CA 90006
Phone (213) 480-1000

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": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1255664611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 W OLYMPIC BLVD STE 101B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062998",
            "telephone_number": "213-480-1000",
            "fax_number": "213-386-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 W OLYMPIC BLVD STE 101B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062998",
            "telephone_number": "213-480-1000",
            "fax_number": "213-386-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "KEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-480-1000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.