Bioedge Medical, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G80002 Issued in CA

Legal business name

BIOEDGE MEDICAL, INC.

Practice address

9327 Fairway View PL
Ste 210
Rancho Cucamonga, CA 91730-0968

Phone

(909) 758-0411

Fax

(909) 758-0711

NPI assigned

Jul 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. James Inho Rho, MD

Title

Ceo/Medical Director

Phone

(909) 758-0411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1891248811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9327 FAIRWAY VIEW PL",
            "address_2": "STE 210",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300968",
            "telephone_number": "909-758-0411",
            "fax_number": "909-758-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9327 FAIRWAY VIEW PL",
            "address_2": "STE 210",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300968",
            "telephone_number": "909-758-0411",
            "fax_number": "909-758-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOEDGE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "RHO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "INHO",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-758-0411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G80002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.