| Smg Medical Practice Group PC | |
|
520 S Virgil Ave Ste 507 Los Angeles CA 90020-1452 | |
| (000) 000-0000 | |
| Not Available |
| Full Name | Smg Medical Practice Group PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 S Virgil Ave Ste 507, Los Angeles, California |
| Authorized Official Name and Position | Richard Park (OWNER) |
| Authorized Official Contact | 6464535945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smg Medical Practice Group PC 300 Park Ave Rm 2210 New York NY 10022-7402 Ph: (646) 453-5945 | Smg Medical Practice Group PC 520 S Virgil Ave Ste 507 Los Angeles CA 90020-1452 Ph: (000) 000-0000 |
| NPI Number | 1710660659 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 09/24/2026 |
| Certification Date | 09/24/2026 |
| Medicare PECOS PAC ID | 8921578220 |
|---|---|
| Medicare Enrollment ID | O20260528001386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710660659 | NPI | - | NPPES |
| Provider Name | Hun K Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982645438 PECOS PAC ID: 1759283054 Enrollment ID: I20040126000998 |
| Provider Name | Hoon G Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790758647 PECOS PAC ID: 9739152984 Enrollment ID: I20040817000502 |
| Provider Name | Richard S Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821061466 PECOS PAC ID: 0042283145 Enrollment ID: I20040817000711 |
| Provider Name | Paul S Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487627261 PECOS PAC ID: 6507839628 Enrollment ID: I20040817000874 |
| Provider Name | Chaewon Song |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972589687 PECOS PAC ID: 4688661549 Enrollment ID: I20070117000542 |
| Provider Name | John Shin Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003991159 PECOS PAC ID: 2961569793 Enrollment ID: I20090505000265 |
| Provider Name | Hong S Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396727764 PECOS PAC ID: 4082745781 Enrollment ID: I20100624000289 |
| Provider Name | Evan Y Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790175859 PECOS PAC ID: 9537461595 Enrollment ID: I20160107001273 |
| Provider Name | Daniel H Kwon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639736846 PECOS PAC ID: 9830573088 Enrollment ID: I20221104002221 |
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