Suk Medical Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A52233 Issued in CA

Legal business name

SUK MEDICAL CLINIC INC

Practice address

15435 S Western Ave Ste 201
Gardena, CA 90249-4324

Phone

(310) 515-9874

NPI assigned

Mar 9, 2018

Organization subpart

Yes

Parent organization

SUK MEDICAL CLINIC INCAs reported in NPPES

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

Authorized official

Name

Dr. Larry Taryoung Suk, MDNPI 1912961939

Title

Physician

Phone

(310) 515-9871

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Suk Medical Clinic Inc

Locations

Practitioners 3

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

• Larry Taryoung Suk, MD

  • Internal Medicine Physician
  • Gardena, CA
  • NPI 1912961939
  Medicare reassignment NPD Authorized official
• Kyoung Jin Kim, AGNP-BC

  • Primary Care Nurse Practitioner
  • Gardena, CA
  • NPI 1609392919
  Medicare reassignment NPD
• Flora Lim

  • Primary Care Nurse Practitioner
  • Gardena, CA
  • NPI 1821699521
  Medicare reassignment NPD

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1720581382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15435 S WESTERN AVE STE 201",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494324",
            "telephone_number": "310-515-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15435 S WESTERN AVE STE 201",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494324",
            "telephone_number": "310-515-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUK MEDICAL CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUK MEDICAL CLINIC INC",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "SUK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "TARYOUNG",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-515-9871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucila Michele Stuck
• Leah Suarez
• Lilian Georgina Suarez
• Samantha Suarez
• Allen T Sueoka, D.D.S.
• Chung Hee Suk, MD
• Larry Taryoung Suk, MD
• Vincent Sulaitis
• Quinn Elisabeth Sullivan
• Summer McGeever OD Inc (Local Eyes Optometry)

• Internal Medicine Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.