Organization Active NPI

Edgar Lluncor, M.D. Apc

  • Gastroenterology Physician
  • Bell, CA
National Provider Identifier
1497926976
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A37711 Issued in CA
Legal business name
EDGAR LLUNCOR, M.D. APC
Practice address
4276 Florence Ave
Bell, CA 90201-3524
Phone
(323) 560-4907
Fax
(323) 560-2684
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Edgar Lluncor, M.D.NPI 1801935481
Title
MD
Phone
(323) 560-4907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A37711 CA Primary

Addresses

Primary practice location

4276 Florence Ave
Bell, CA 90201-3524

Mailing address

PO Box 3265
Palos Verdes Estates, CA 90274-9265
Phone (323) 560-4907

Other identifiers 2

IdentifierTypeStateIssuer
A28440OtherCAUPIN
00A377110MedicaidCA

Other names 1

  • BELL GASTROINTESTINAL LIVER DISEASE MED CTR Doing business as

National Provider Directory

National Provider Directory

Locations

4276 Florence Ave
Bell, CA 90201
Phone (323) 560-4907

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": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1497926976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3265",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902749265",
            "telephone_number": "323-560-4907",
            "fax_number": "323-560-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4276 FLORENCE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902013524",
            "telephone_number": "323-560-4907",
            "fax_number": "323-560-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR LLUNCOR, M.D. APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "LLUNCOR",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "323-560-4907",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A37711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "A28440",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A377110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELL GASTROINTESTINAL LIVER DISEASE MED CTR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.