Active NPI
Sumala Lopansri
- Dermatology Physician
- Monterey Park, CA
National Provider Identifier
1508084518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A33915
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A33915 | CA | Primary |
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR 0008161 | Medicaid | CA |
Other names 1
- Lo Medical Group
National Provider Directory
National Provider DirectoryLocations
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.