NPIMap

Organization Active NPI

Enhanced Care RX Clinic, Inc.

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1457082794
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ENHANCED CARE RX CLINIC, INC.
Practice address
266 S Harvard Blvd Ste 120a
Los Angeles, CA 90004-4374
Phone
(213) 527-2995
Fax
(213) 527-2996
NPI assigned
Jun 17, 2022
Last updated
Jul 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Sang Jung Lee
Title
Ceo
Phone
(213) 527-2995

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

266 S Harvard Blvd Ste 120a
Los Angeles, CA 90004-4374

Mailing address

PO Box 741330
Los Angeles, CA 90004-9330
Phone (213) 527-2995

National Provider Directory

National Provider Directory

Locations

266 S Harvard Blvd
Ste 120A
Los Angeles, CA 90004
Phone (213) 527-2995

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1457082794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741330",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900049330",
            "telephone_number": "213-527-2995",
            "fax_number": "213-527-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD STE 120A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044374",
            "telephone_number": "213-527-2995",
            "fax_number": "213-527-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED CARE RX CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANG JUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-527-2995"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 18, 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.