Organization Active NPI

Los Angeles Ear Medical Group

  • Otology & Neurotology Physician
  • Arcadia, CA
National Provider Identifier
1801049697
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
G52831 Issued in CA
Legal business name
LOS ANGELES EAR MEDICAL GROUP
Practice address
622 W Duarte Rd
Suite 105
Arcadia, CA 91007-7606
Phone
(626) 574-6921
Fax
(626) 574-9604
NPI assigned
Oct 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Lucy Shih, M.D.NPI 1295726008
Title
Physician/ Owner
Phone
(626) 574-6921

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0901X G52831 CA Primary

Addresses

Primary practice location

622 W Duarte Rd
Suite 105
Arcadia, CA 91007-7606

Mailing address

622 W Duarte Rd
Suite 105
Arcadia, CA 91007-7606
Phone (626) 574-6921

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ75134ZMedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1801049697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD",
            "address_2": "SUITE 105",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077606",
            "telephone_number": "626-574-6921",
            "fax_number": "626-574-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD",
            "address_2": "SUITE 105",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077606",
            "telephone_number": "626-574-6921",
            "fax_number": "626-574-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES EAR MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "SHIH",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "626-574-6921",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "CA",
            "license": "G52831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ75134Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.