Organization Active NPI

Sumala Lopansri

  • Dermatology Physician
  • Monterey Park, CA
National Provider Identifier
1508084518
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A33915 Issued in CA
Legal business name
SUMALA LOPANSRI
Doing business as
Lo Medical Group
Practice address
223 N Garfield Ave.
Suite 306
Monterey Park, CA 91754
Phone
(626) 573-5005
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Sumala Lopansri, M.D.
Title
Physician and Surgeon
Phone
(626) 573-5005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X A33915 CA Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X A33669 CA

Addresses

Primary practice location

223 N Garfield Ave.
Suite 306
Monterey Park, CA 91754

Mailing address

223 N Garfield Ave.
Suite 306
Monterey Park, CA 91754
Phone (626) 573-5005

Other identifiers 1

IdentifierTypeStateIssuer
GR 0008161MedicaidCA

Other names 1

  • Lo Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

223 N Garfield Ave
Ste 306
Monterey Park, CA 91754
Phone (626) 523-5005

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1508084518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N GARFIELD AVE.",
            "address_2": "SUITE 306",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91754",
            "telephone_number": "626-573-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N GARFIELD AVE.",
            "address_2": "SUITE 306",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91754",
            "telephone_number": "626-573-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMALA LOPANSRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "LOPANSRI",
        "authorized_official_first_name": "SUMALA",
        "authorized_official_title_or_position": "PHYSICIAN AND SURGEON",
        "authorized_official_telephone_number": "626-573-5005",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A33915",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A33669",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR 0008161",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lo Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.