WMG Procedure Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

2910287 Issued in CA

Legal business name

WMG PROCEDURE CENTER

Practice address

4465 Wilshire Blvd
Suite #304
Los Angeles, CA 90010-3704

Phone

(323) 938-0060

Fax

(323) 938-9025

NPI assigned

Mar 17, 2007

Organization subpart

No

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

Authorized official

Name

Hyo-Rang Lee, M.D., PH.D.

Title

President

Phone

(323) 938-0060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508980400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 WILSHIRE BLVD",
            "address_2": "SUITE #304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103704",
            "telephone_number": "323-938-0060",
            "fax_number": "323-938-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 WILSHIRE BLVD",
            "address_2": "SUITE #304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103704",
            "telephone_number": "323-938-0060",
            "fax_number": "323-938-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WMG PROCEDURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HYO-RANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-938-0060",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "2910287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK MD Medical Group Inc
• Richard Wladich
• Teresa Wlasiuk, LAC, CMT, LMT
• Ellen Wleklinski
• Jordan Wlodarczyk, M.D. M.S.
• Bette Wo, MS
• Karrune Woan
• Ashley Wodehouse, IBCLC
• Adam Henry Woebken
• Theresa A Woehrle, MD

• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.