Whitecoat Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WHITECOAT MEDICAL GROUP, INC

Practice address

130 W Union St
Pasadena, CA 91103-3628

Phone

(917) 577-3134

NPI assigned

Jul 14, 2015

Organization subpart

No

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

Authorized official

Name

Mike Kwon

Title

Ceo

Phone

(917) 577-3134

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1902280571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W UNION ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W UNION ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033628",
            "telephone_number": "917-577-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITECOAT MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-577-3134"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imani White
• Madison Joy White
• Rhonda White
• Sherreeta White
• Wanda S White, PHD, LCSW
• Adam Bleviss Whitlatch
• Quashala Whitley, MS, BCBA
• Lauren Hunter Whitlock
• William B. Whitney, LMFT
• Sharon Whittle, MFT,DMIN,

• Family Medicine Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.