Organization Active NPI

Pacific Alliance Medical Center, Inc

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1568805802
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PACIFIC ALLIANCE MEDICAL CENTER, INC
Practice address
711 W College St
Suite#428
Los Angeles, CA 90012-1163
Phone
(213) 437-4216
Fax
(213) 617-7213
NPI assigned
Apr 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Shi-Yin Wong, M.D
Title
Chairman
Phone
(213) 830-8950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

711 W College St
Suite#428
Los Angeles, CA 90012-1163

Mailing address

711 W College St
Suite 628
Los Angeles, CA 90012-1163
Phone (213) 830-8950

Other names 1

  • PACIFIC ALLIANCE MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

711 W College St
Ste 628
Los Angeles, CA 90012

711 W College St
Ste 428
Los Angeles, CA 90012
Phone (213) 437-4216

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1568805802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "SUITE 628",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163",
            "telephone_number": "213-830-8950",
            "fax_number": "213-617-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "SUITE#428",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163",
            "telephone_number": "213-437-4216",
            "fax_number": "213-617-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC ALLIANCE MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SHI-YIN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "213-830-8950",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFIC ALLIANCE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.