Active NPI
T.R.Rhee,M.D.Inc
- Specialist
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A26795
- Legal business name
- T.R.RHEE,M.D.INC
- Practice address
- 12555 Garden Grove Blvd
Suite 408
Garden Grove, CA 92843-1902 - Phone
- (714) 530-1010
- Fax
- (714) 530-0215
- NPI assigned
- Sep 24, 2010
- Last updated
- Oct 7, 2010
- 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
- Dr. Tae Ryang Rhee, M.D.
- Title
- President
- Phone
- (714) 530-1010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A26795 | CA | Primary |
Addresses
Primary practice location
12555 Garden Grove Blvd
Suite 408
Garden Grove, CA 92843-1902
Mailing address
12555 Garden Grove Blvd.
Suite 408
Garden Grove, CA 92843-1902
Phone (714) 530-1010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A26795 | Other | CA | LICENSE |
| 00A267951 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
12555 Garden Grove Blvd
Ste 408
Garden Grove, CA 92843
Phone (714) 530-1010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Garden Grove, CA
- NPI 1235207614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286409600000",
"number": "1821306838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12555 GARDEN GROVE BLVD.",
"address_2": "SUITE 408",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431902",
"telephone_number": "714-530-1010",
"fax_number": "714-530-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12555 GARDEN GROVE BLVD",
"address_2": "SUITE 408",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431902",
"telephone_number": "714-530-1010",
"fax_number": "714-530-0215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T.R.RHEE,M.D.INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-24",
"last_updated": "2010-10-07",
"status": "A",
"authorized_official_last_name": "RHEE",
"authorized_official_first_name": "TAE",
"authorized_official_middle_name": "RYANG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-530-1010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A26795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A26795",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A267951",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.