LEE & BAE GI MEDICAL CORPORATION NPI 1619181765

NPI Information

NPI: 1619181765
Provider Name: LEE & BAE GI MEDICAL CORPORATION

Doing Business As: WILSHIRE ENDOSCOPY CENTER

Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

Address:
3200 WILSHIRE BLVD STE 101
LOS ANGELES, CA
ZIP 90010
Phone: (213) 739-9988
Get Directions

LEE & BAE GI MEDICAL CORPORATION is an endoscopy clinic center in Los Angeles, CA. LEE & BAE GI MEDICAL CORPORATION NPI is 1619181765. The provider is registered as an organization entity type.
The provider Is Doing Business As Wilshire Endoscopy Center.

The provider's business location address is:

3200 WILSHIRE BLVD STE 101
LOS ANGELES, CA
ZIP 90010-307
Phone: (213) 739-9988
Fax: (213) 739-0030

The provider's authorized official is Ho S Bae .
The authorized official title is President and has the following contact phone number (213) 739-9988.

The CLIA number assigned to this NPI record is 05D2101636 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 5/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0800X	Clinic/Center	Endoscopy			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S051576	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »