| Genus Medical Group | |
|
6301 Beach Blvd Ste 101 Buena Park CA 90621-4030 | |
| (714) 994-5290 | |
| (714) 994-8090 |
| Full Name | Genus Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 6301 Beach Blvd Ste 101, Buena Park, California |
| Authorized Official Name and Position | Joseph H Yi (PRESIDENT) |
| Authorized Official Contact | 7149945290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genus Medical Group 6301 Beach Blvd. Suite #101 Buena Park CA 90621 Ph: (714) 994-5290 | Genus Medical Group 6301 Beach Blvd Ste 101 Buena Park CA 90621-4030 Ph: (714) 994-5290 |
| NPI Number | 1255853768 |
|---|---|
| Provider Enumeration Date | 07/17/2017 |
| Last Update Date | 11/29/2023 |
| Medicare PECOS PAC ID | 2163788381 |
|---|---|
| Medicare Enrollment ID | O20171103001831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255853768 | NPI | - | NPPES |
| 00A615740 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A61574 (California) | Primary |
| Provider Name | Joseph H Yi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861565285 PECOS PAC ID: 6406808138 Enrollment ID: I20050211000156 |
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