Life Medical Group, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G78232 Issued in CA

Legal business name

LIFE MEDICAL GROUP, INC

Practice address

1900 S Brea Canyon Rd Unit B
Diamond Bar, CA 91765-4059

Phone

(626) 913-1116

Fax

(626) 913-1261

NPI assigned

Oct 21, 2005

Organization subpart

No

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

Authorized official

Name

Sung J Yoo, MDNPI 1437141587

Title

Medical Director

Phone

(626) 913-1116

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Sung J Yoo, MD

  • Gastroenterology Physician
  • Diamond Bar, CA
  • NPI 1437141587
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1942290903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S BREA CANYON RD UNIT B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654059",
            "telephone_number": "626-913-1116",
            "fax_number": "626-913-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S BREA CANYON RD UNIT B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654059",
            "telephone_number": "626-913-1116",
            "fax_number": "626-913-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-913-1116",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G78232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0098190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tom Li
• Yu E Li, LAC
• Yung-Ting Li, MSAOM
• Anne Liao, MD
• Kevin Kuofan Liao, L.AC.
• Aaron Lin, D.O.
• Huan Min Lin
• Jason Vei-Chang Lin, DDS
• Margaret Ting Lin, MD
• Yichun Lin

• Specialist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.