| Dr. Rheem's Gastroenterology Clinic | |
|
505 S Virgil Ave Suite 102 Los Angeles CA 90020-1406 | |
| (213) 381-3630 | |
| Not Available |
| Full Name | Dr. Rheem's Gastroenterology Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 505 S Virgil Ave, Los Angeles, California |
| Authorized Official Name and Position | Dae Soon Rheem (PRESIDENT) |
| Authorized Official Contact | 2133813630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Rheem's Gastroenterology Clinic 505 S Virgil Ave Suite 102 Los Angeles CA 90020-1406 Ph: (213) 381-3630 | Dr. Rheem's Gastroenterology Clinic 505 S Virgil Ave Suite 102 Los Angeles CA 90020-1406 Ph: (213) 381-3630 |
| NPI Number | 1942623160 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 01/23/2014 |
| Medicare PECOS PAC ID | 4880818731 |
|---|---|
| Medicare Enrollment ID | O20140626000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942623160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A92866 (California) | Primary |
| Provider Name | Dae Rheem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295915585 PECOS PAC ID: 9638200496 Enrollment ID: I20100623000760 |
| Provider Name | Justin Youngbin Rheem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205246113 PECOS PAC ID: 6800155839 Enrollment ID: I20180118002371 |
| Provider Name | Doeyoung Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093913444 PECOS PAC ID: 7618058777 Enrollment ID: I20180315000942 |
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