Pacific Alliance Medical Center, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PACIFIC ALLIANCE MEDICAL CENTER, INC

Practice address

4837 Huntington Dr N
Los Angeles, CA 90032-1953

Phone

(323) 343-9460

Fax

(323) 343-9466

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shi-Yin Wong, M.D

Title

Chairman

Phone

(213) 830-8950

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Alliance Medical Group Doing business as

Locations

Practitioners 1

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

• Tit S Li, MD

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1003844432
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1972551174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "628",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163",
            "telephone_number": "213-830-8920",
            "fax_number": "213-830-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4837 HUNTINGTON DR N",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321953",
            "telephone_number": "323-343-9460",
            "fax_number": "323-343-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC ALLIANCE MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SHI-YIN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "213-830-8950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0057544",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Alliance Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Pacheco
• Pachulski Industries Inc
• Richard Pachulski
• Pacific Alliance Medical Center, Inc
• Pacific Alliance Medical Center, Inc
• Pacific Alliance Medical Group
• Pacific Arthritis Care Center Inc.
• Pacific Asian Alcohol and Drug Program
• Pacific Asian Counseling Services
• Pacific Asian Counseling Services

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 11, 2013; 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.