NPIMap

Organization Active NPI

Daniel Rheem M.D., Inc.

  • Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1366860827
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A92866 Issued in CA
Legal business name
DANIEL RHEEM M.D., INC.
Practice address
505 S Virgil Ave
Suite 102
Los Angeles, CA 90020-1406
Phone
(213) 381-3630
Fax
(213) 381-3631
NPI assigned
Apr 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Authorized official

Name
Dr. Dae Soon Rheem, M.D., PH.D.
Title
President
Phone
(213) 381-3630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X A92866 CA Primary

Addresses

Primary practice location

505 S Virgil Ave
Suite 102
Los Angeles, CA 90020-1406

Mailing address

1646 Glorietta Ave
Glendale, CA 91208-2010
Phone (213) 381-3630

Other identifiers 1

IdentifierTypeStateIssuer
A92866OtherCACALIFORNIA MEDICAL BOARD

Other names 1

  • Yonsei Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daniel Rheem MD Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1366860827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 GLORIETTA AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082010",
            "telephone_number": "213-381-3630",
            "fax_number": "213-381-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201406",
            "telephone_number": "213-381-3630",
            "fax_number": "213-381-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL RHEEM M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "RHEEM",
        "authorized_official_first_name": "DAE",
        "authorized_official_middle_name": "SOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-381-3630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A92866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL BOARD",
            "identifier": "A92866",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yonsei Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 11, 2014; 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.