| Westwood Medical Group,inc. | |
|
505 S Virgil Ave Suite 208 Los Angeles CA 90020-1415 | |
| (213) 739-0007 | |
| (213) 739-0011 |
| Full Name | Westwood Medical Group,inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 505 S Virgil Ave, Los Angeles, California |
| Authorized Official Name and Position | Sonwoo Lee (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2137390007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westwood Medical Group,inc. 505 S Virgil Ave Suite 208 Los Angeles CA 90020-1415 Ph: (213) 739-0007 | Westwood Medical Group,inc. 505 S Virgil Ave Suite 208 Los Angeles CA 90020-1415 Ph: (213) 739-0007 |
| NPI Number | 1124104427 |
|---|---|
| Provider Enumeration Date | 10/29/2006 |
| Last Update Date | 05/20/2014 |
| Medicare PECOS PAC ID | 6305944596 |
|---|---|
| Medicare Enrollment ID | O20070612000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124104427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A78554 (California) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | A78556 (California) | Primary |
| Provider Name | Hyo Rang Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134205099 PECOS PAC ID: 2860423746 Enrollment ID: I20050830001073 |
| Provider Name | Sonwoo Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336168616 PECOS PAC ID: 8527090877 Enrollment ID: I20050907000828 |
| Provider Name | Peter J Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235242199 PECOS PAC ID: 2466459516 Enrollment ID: I20080508000486 |
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