| Pacific Medical Group | |
|
266 S Harvard Blvd Ste 100 Los Angeles CA 90004-4374 | |
| (213) 383-9388 | |
| (213) 381-8660 |
| Full Name | Pacific Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 266 S Harvard Blvd Ste 100, Los Angeles, California |
| Authorized Official Name and Position | Young Jik Lee (M.D.) |
| Authorized Official Contact | 2133839388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Medical Group 266 S Harvard Blvd Ste 100 Los Angeles CA 90004-4374 Ph: (213) 383-9388 | Pacific Medical Group 266 S Harvard Blvd Ste 100 Los Angeles CA 90004-4374 Ph: (213) 383-9388 |
| NPI Number | 1336581123 |
|---|---|
| Provider Enumeration Date | 07/23/2013 |
| Last Update Date | 04/17/2020 |
| Medicare PECOS PAC ID | 5193955920 |
|---|---|
| Medicare Enrollment ID | O20140224000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336581123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Young-jik Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447271036 PECOS PAC ID: 1355307265 Enrollment ID: I20041202000604 |
| Provider Name | Kyoung A Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477882215 PECOS PAC ID: 7719172972 Enrollment ID: I20101112000867 |
| Provider Name | Cheong W Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093800138 PECOS PAC ID: 7315135795 Enrollment ID: I20101229000676 |
| Provider Name | Lisa Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104169796 PECOS PAC ID: 6103105606 Enrollment ID: I20161123001682 |
| Provider Name | Chanyoung Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003310517 PECOS PAC ID: 5092078709 Enrollment ID: I20180411001084 |
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