Korea Medical Group Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G67974 Issued in CA

Legal business name

KOREA MEDICAL GROUP INC

Practice address

3544 W Olympic Blvd Ste 105
Los Angeles, CA 90019-3529

Phone

(323) 731-0681

Fax

(323) 731-0832

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Yong Tai Lee, M.D.

Title

Director

Phone

(323) 731-0681

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292112000000",
    "number": "1467564757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 W OLYMPIC BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193529",
            "telephone_number": "323-731-0681",
            "fax_number": "323-731-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 W OLYMPIC BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193529",
            "telephone_number": "323-731-0681",
            "fax_number": "323-731-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOREA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-12-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "TAI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-731-0681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G67974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Korda, MD
• Rose Casserly Kordahl
• Anna Marie Kordich-Sandoval, LMFT
• Kattayoun Kordy, MD
• Megan Kordyak, M.D.
• Korean American Family Services, Inc. (Kfam)
• Korean Health Education Information and Research Center
• Korean Health Education Information and Research Center
• Korean Health Education Information and Research Center
• Korean Health Education Information and Research Center

• Gastroenterology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2010; 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.