Individual provider Active NPI

Hyunah L Poa, MD

  • Internal Medicine Physician
  • Rolling Hills Estates, CA
National Provider Identifier
1568482859
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G076907 Issued in CA
Practice address
501 Deep Valley Dr
Rolling Hills Estates, CA 90274-7605
Phone
(310) 303-3953
Fax
(310) 303-7903
NPI assigned
Jul 20, 2006
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G076907 CA Primary

Addresses

Primary practice location

501 Deep Valley Dr
Rolling Hills Estates, CA 90274-7605

Mailing address

501 Deep Valley Dr
Rolling Hills Estates, CA 90274-7605
Phone (310) 303-3953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060324000461 CA Practitioner - Internal Medicine 2062420573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

501 Deep Valley Dr
Suite 100
Rolling Hills Estates, CA 90274-7606
Phone (310) 303-3953

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G076907CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Internal Medicine CurrentSince Feb 1, 2014 Accepting new patients
The Regents of the University of California CurrentSince Feb 1, 2014 Accepting new patients
UCLA Medical Group Internal Medicine Past Accepting new patients
Mission Ranch Primary Care Inc Internal Medicine PastSince Jan 1, 2017 Accepting new patients
Enloe Medical Center Past Accepting new patients
UC Regents Past Accepting new patients

Locations

File 55737
Los Angeles, CA 90074

501 Deep Valley Dr
Ste 100
Rolling Hills Estates, CA 90274
Phone (310) 303-3953

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBDAAA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1568482859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DEEP VALLEY DR",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902747605",
            "telephone_number": "310-303-3953",
            "fax_number": "310-303-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DEEP VALLEY DR",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902747605",
            "telephone_number": "310-303-3953",
            "fax_number": "310-303-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POA",
        "first_name": "HYUNAH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G076907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

Verify at the official NPI Registry.