NPIMap

Organization Active NPI

Hanmi Medical Clinic, Inc.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1952468910
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A37230 Issued in CA
Legal business name
HANMI MEDICAL CLINIC, INC.
Practice address
325 S Western Ave
Los Angeles, CA 90020-3804
Phone
(213) 480-0404
Fax
(213) 480-1519
NPI assigned
Jan 2, 2007
Last updated
Jul 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Dr. Paik Hyun Chang, M.D.NPI 1982661575
Title
Owner
Phone
(213) 480-0404

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A37230 CA Primary

Addresses

Primary practice location

325 S Western Ave
Los Angeles, CA 90020-3804

Mailing address

325 S Western Ave
Los Angeles, CA 90020-3804
Phone (213) 480-0404

Other identifiers 2

IdentifierTypeStateIssuer
00A372300MedicaidCA
A37230OtherCASTATE MEDICAL LICENSE NUMBER

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1952468910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203804",
            "telephone_number": "213-480-0404",
            "fax_number": "213-480-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203804",
            "telephone_number": "213-480-0404",
            "fax_number": "213-480-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANMI MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PAIK",
        "authorized_official_middle_name": "HYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-480-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A372300",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE NUMBER",
            "identifier": "A37230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.