Woori Medical Center Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A42566 Issued in CA

Legal business name

WOORI MEDICAL CENTER CORP

Practice address

2655 W Olympic Blvd
Suite 207
Los Angeles, CA 90006-2484

Phone

(213) 388-7887

Fax

(213) 388-3504

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Seung R An, MDNPI 1942249792

Title

President

Phone

(213) 388-7887

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Seung Rog An, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1942249792
  Medicare reassignment Authorized official
• Lauri I An, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1134168891
  Medicare reassignment

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1992751945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 W OLYMPIC BLVD",
            "address_2": "SUITE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062484",
            "telephone_number": "213-388-7887",
            "fax_number": "213-388-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 W OLYMPIC BLVD",
            "address_2": "SUITE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062484",
            "telephone_number": "213-388-7887",
            "fax_number": "213-388-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOORI MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "AN",
        "authorized_official_first_name": "SEUNG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-388-7887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A42566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Woolridge, SOCIAL WORKER
• Milan Woolridge
• Irene Woon, M.A., CCC-SLP
• Woori Health Village
• Woori Hospice Care Inc.
• Woori Pharmacy, Inc.
• Christian Wooten
• Darlene Wooten
• Michelle Vijverberg Wooten, MD
• Patricia Ann Wooten

• 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 Nov 15, 2013; 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.