Seoul Medical Group Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

A47888 Issued in CA

Legal business name

SEOUL MEDICAL GROUP INC

Practice address

5000 Airport Plaza Dr Ste 150
Long Beach, CA 90815-1275

Phone

(562) 766-2000

Fax

(562) 766-2006

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Min Young Cha, M.D.

Title

President

Phone

(213) 480-7770

Specialties & licenses 1

Addresses

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Koreatown Urgent Care Center

  • Urgent Care Clinic/Center
  • Los Angeles, CA
  • NPI 1548631369
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sang Hyun Baik

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1285732370
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1629291810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 AIRPORT PLAZA DR STE 150",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151275",
            "telephone_number": "562-766-2000",
            "fax_number": "562-766-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 AIRPORT PLAZA DR STE 150",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151275",
            "telephone_number": "562-766-2000",
            "fax_number": "562-766-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEOUL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "CHA",
        "authorized_official_first_name": "MIN",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-480-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "A47888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saksy Sengamphan
• Andrew Sengphrachanh
• Senior Care Placement Experts Inc. (24Hr. Home Helpers)
• Gi Won Seo, DDS
• Allen Seol, MD
• Evelyn Sepulveda
• David Sequeira, PH.D.
• Natalia Sequeira
• Andrea M. Serafin, LCSW
• Mercedes Maria Serafini

• Health Maintenance Organization in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.