NPIMap

Organization Active NPI

Daniel Rheem MD Inc

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1982133492
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DANIEL RHEEM MD INC
Practice address
505 S Virgil Ave Ste 101
Los Angeles, CA 90020-1407
Phone
(213) 381-3630
Fax
(213) 381-3630
NPI assigned
Jun 8, 2017
Organization subpart
Yes
Parent organization
DANIEL RHEEM MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Authorized official

Name
Dae Soon Rheem, MD
Title
President
Phone
(213) 381-3630

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0300X

Addresses

Primary practice location

505 S Virgil Ave Ste 101
Los Angeles, CA 90020-1407

Mailing address

505 S Virgil Ave Ste 101
Los Angeles, CA 90020-1407
Phone (213) 381-3630

Other names 1

  • Grand Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daniel Rheem MD Inc4 organizations share this tax ID, including this one
Part of
Daniel Rheem MD Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496880000000",
    "number": "1982133492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201407",
            "telephone_number": "213-381-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201407",
            "telephone_number": "213-381-3630",
            "fax_number": "213-381-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL RHEEM MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANIEL RHEEM MD INC",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A",
        "authorized_official_last_name": "RHEEM",
        "authorized_official_first_name": "DAE SOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-381-3630",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 8, 2017; 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.