Jrheemd Professional Corporation

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

A92345 Issued in CA

Legal business name

JRHEEMD PROFESSIONAL CORPORATION

Practice address

520 S Virgil Ave Ste 303
Los Angeles, CA 90020-1425

Phone

(714) 777-2469

Fax

(714) 917-4620

NPI assigned

Dec 13, 2006

Last updated

Apr 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Y Milligan

Title

Business Billing Manager

Phone

(714) 777-2469

Specialties & licenses 1

Addresses

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.

• Jason Rhee, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Angeles, CA
  • NPI 1336191980
  Medicare reassignment NPD
• Kenith K Paresa, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Angeles, CA
  • NPI 1013952159
  NPD
• Hyung S Kim, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Santa Clarita, CA
  • NPI 1609885581
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1659432409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE STE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201425",
            "telephone_number": "714-777-2469",
            "fax_number": "310-329-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE STE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201425",
            "telephone_number": "714-777-2469",
            "fax_number": "714-917-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRHEEMD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "MILLIGAN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "BUSINESS BILLING MANAGER",
        "authorized_official_telephone_number": "714-777-2469",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A92345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.