Advanced Genomics Research Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADVANCED GENOMICS RESEARCH INC

Doing business as

Anti-Fragility Health

Practice address

1020 S Anaheim Blvd Ste 300
Anaheim, CA 92805-5854

Phone

(714) 999-6688

Fax

(714) 908-1555

NPI assigned

Nov 10, 2020

Organization subpart

No

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

Authorized official

Name

Sung Hye Yi, PHD

Title

Cfo

Phone

(714) 493-7258

Specialties & licenses 3

Addresses

Other names 1

• Anti-Fragility Health Doing business as

Locations

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1750983185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S ANAHEIM BLVD STE 300",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055854",
            "telephone_number": "714-999-6688",
            "fax_number": "714-908-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S ANAHEIM BLVD STE 300",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055854",
            "telephone_number": "714-999-6688",
            "fax_number": "714-908-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED GENOMICS RESEARCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "HYE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-493-7258",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anti-Fragility Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Anaheim, CA
• Providers in Anaheim, 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 Nov 10, 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.

Verify at the official NPI Registry.