MG San Aye,M.D.,Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A26642 Issued in CA

Legal business name

MG SAN AYE,M.D.,INC

Practice address

1717 W Beverly Blvd Ste a
Montebello, CA 90640-3971

Phone

(323) 728-7218

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. MG San Aye, MD

Title

Attending Physician

Phone

(323) 728-7218

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760690044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W BEVERLY BLVD STE A",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403971",
            "telephone_number": "323-728-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W BEVERLY BLVD STE A",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403971",
            "telephone_number": "323-728-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG SAN AYE,M.D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AYE",
        "authorized_official_first_name": "MG",
        "authorized_official_middle_name": "SAN",
        "authorized_official_title_or_position": "ATTENDING  PHYSICIAN",
        "authorized_official_telephone_number": "323-728-7218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A26642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A266422",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Montebello, CA
• Providers in Montebello, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.