Active NPI
Los Angeles Gastroenterology Associates Inc
- Gastroenterology Physician
- Los Angeles, CA
National Provider Identifier
1639788706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- LOS ANGELES GASTROENTEROLOGY ASSOCIATES INC
- Practice address
- 1245 Wilshire Blvd Ste 780
Los Angeles, CA 90017-4881 - Phone
- (213) 537-0569
- NPI assigned
- Jul 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin H Lee, MD
- Title
- Chief Executive Officer
- Phone
- (213) 537-0569
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
1245 Wilshire Blvd Ste 780
Los Angeles, CA 90017-4881
Mailing address
1245 Wilshire Blvd Ste 780
Los Angeles, CA 90017-4881
Phone (213) 537-0569
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595548800000",
"number": "1639788706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD STE 780",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174881",
"telephone_number": "213-537-0569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD STE 780",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174881",
"telephone_number": "213-537-0569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOS ANGELES GASTROENTEROLOGY ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-24",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "213-537-0569",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Los Angeles Ear, Nose & Throat Associates
- Los Angeles Ear, Nose & Throat Associates
- Los Angeles Endoscopy Center
- Los Angeles ENT Surgical Associates
- Los Angeles Family Medical Services Inc
- Los Angeles General Medical Center Foundation, Inc.
- Los Angeles Health Clinic, LLC
- Los Angeles Hearing Aid Center
- Los Angeles Heart and Vein Center Inc
- Los Angeles Hematology-Oncology Medical Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.