Active NPI
Baron Medical Group
- Family Medicine Physician
- Los Angeles, CA
National Provider Identifier
1740969591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BARON MEDICAL GROUP
- Practice address
- 3800 Wilshire Blvd Ste 207a
Los Angeles, CA 90010-3233 - Phone
- (213) 985-7777
- Fax
- (213) 900-1030
- NPI assigned
- Jul 17, 2023
- 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
- Daesoon Leem, M.D.
- Title
- President
- Phone
- (213) 985-7777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Sports Medicine (Family Medicine) Physician | 207QS0010X |
Addresses
Primary practice location
3800 Wilshire Blvd Ste 207a
Los Angeles, CA 90010-3233
Mailing address
3800 Wilshire Blvd Ste 207a
Los Angeles, CA 90010-3233
Phone (213) 985-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Family Medicine) Physician
- Los Angeles, CA
- NPI 1902289226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737331200000",
"number": "1740969591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 WILSHIRE BLVD STE 207A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103233",
"telephone_number": "213-985-7777",
"fax_number": "213-900-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 WILSHIRE BLVD STE 207A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103233",
"telephone_number": "213-985-7777",
"fax_number": "213-900-1030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARON MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-17",
"last_updated": "2025-01-20",
"certification_date": "2025-01-20",
"status": "A",
"authorized_official_last_name": "LEEM",
"authorized_official_first_name": "DAESOON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-985-7777",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.