S & J Medical Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

S & J MEDICAL CLINIC INC

Practice address

3710 E Cesar E Chavez Ave Ste 201
Los Angeles, CA 90063-2219

Phone

(323) 406-2204

Fax

(323) 406-2327

NPI assigned

Jan 2, 2023

Organization subpart

No

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

Authorized official

Name

Patricia Fernandez, OFFICE MANAGER

Title

Office Manager

Phone

(323) 406-2204

Specialties & licenses 1

Addresses

Other names 1

• S & J Medical Clinic Inc Other name

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1386357697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 E CESAR E CHAVEZ AVE STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632219",
            "telephone_number": "323-406-2204",
            "fax_number": "323-406-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 E CESAR E CHAVEZ AVE STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632219",
            "telephone_number": "323-406-2204",
            "fax_number": "323-406-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & J MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-406-2204",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S & J Medical Clinic Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kevin W Ryu, LCSW
• Sukyeong Ryu
• Wonchung Michelle Ryu, ACUPUNCTURIST, O.M.D
• David Keunjoo Ryuman, D.D.S.
• Lily Ryzhkova, M.D.
• S & R Quality Assisted Living Inc.
• S & S Medical Group, Inc.
• S & S Medical Supply Inc
• S a M Medicine Inc
• S K Mostafavi MD FCCP a Medical Corporation

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.