Active NPI
Edgar Lluncor, M.D. Apc
- Gastroenterology Physician
- Bell, CA
National Provider Identifier
1497926976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A37711
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edgar Lluncor, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A28440 | Other | CA | UPIN |
| 00A377110 | Medicaid | CA |
Other names 1
- BELL GASTROINTESTINAL LIVER DISEASE MED CTR
National Provider Directory
National Provider DirectoryLocations
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.