Y & Y Medical Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A112040 Issued in CA

Legal business name

Y & Y MEDICAL INC

Doing business as

Vitacaremed

Practice address

966 S Western Ave Ste 201
Los Angeles, CA 90006-1015

Phone

(323) 452-0656

Fax

(562) 443-3791

NPI assigned

Jul 25, 2012

Organization subpart

No

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

Authorized official

Name

Ho Je LeeNPI 1366671836

Title

President

Phone

(818) 484-7592

Specialties & licenses 1

Addresses

Other names 1

• VITACAREMED Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ho Je Lee, MD

  • Sports Medicine (Family Medicine) Physician
  • Los Angeles, CA
  • NPI 1366671836
  Medicare reassignment Authorized official
• Manuel P Momjian, MD

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1609060185
  NPD (past)
• Jarlath N. Ryan, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1639360449
  NPD (past)

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1578819751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 S WESTERN AVE STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061015",
            "telephone_number": "323-452-0656",
            "fax_number": "562-443-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 S WESTERN AVE STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061015",
            "telephone_number": "323-452-0656",
            "fax_number": "562-443-3791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1577 E Chevy Chase Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912064091",
            "country_code": "US",
            "telephone_number": "818-484-7592",
            "fax_number": "562-443-3791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "Y & Y MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HO JE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-484-7592"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A112040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITACAREMED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Xuefen Xu, CASE MANAGER
• Yue Hua Xu
• Zhaixuan Xu
• Sophia Xue
• Veronica Jing Ying Xue, NP
• Y & Y Recovery (n/a)
• Y J Lee MD Corp (Pacific Medical Group)
• Y J Lee MD Corp
• Y&Z Westwood Surgical Pathology Lab Inc (no other name)
• Keith Joseph Yablonicky, M.D.

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.