California Gerontolgy Clinic
Family Medicine (Geriatric Medicine)

Address: 1042 S Kingsley Dr Ste 3, Los Angeles, CA 90006-2408
Phone: 2133404799

California Gerontolgy Clinic (NPI# 1073135406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1073135406
Entity Type Organization
Organization Name CALIFORNIA GERONTOLGY CLINIC
Practice Address 1042 S Kingsley Dr Ste 3
Los Angeles
CA 90006-2408
Practice Telephone 2133404799
Practice Fax Number 7036626165
Mailing Address 4216 Evergreen Ln Ste 121
Annandale
VA 22003-3256
Mailing Telephone 3018934124
Mailing Fax Number 7036626165
Authorized Official Name Jiho Choi (OWNER)
Authorized Official Telephone 2133404799
Authorized Official Credential MD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-05-07
Last Update Date 2020-05-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207QG0300X Family Medicine · Geriatric Medicine Allopathic & Osteopathic Physicians

Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

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1982038774 Robert Lester Horowitz Family Medicine 6155 S. Shenandoah Ave, Los Angeles, CA 90056-2020 2013-08-28
1083055545 Visiting Physicians of California Family Medicine 2300 Westwood Blvd, Suite 102, Los Angeles, CA 90064-2015 2013-07-12
1669607511 Mairead J Torsney-weir Family Medicine 6267 Tipton Way, Los Angeles, CA 90042-1361 2009-05-21
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1518389360 Marcel S Filart Md Inc Family Medicine 1300 N Vermont Ave, Senior Care Center, Los Angeles, CA 90027-6005 2014-01-14
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Office Location

Street Address 1042 S KINGSLEY DR STE 3
City LOS ANGELES
State CA
Zip Code 90006-2408

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114583549 Ruahrena Corporation Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 2019-05-10
1770048266 Luxi Optometry, Inc Ophthalmology 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 2019-02-08
1053895565 Lili Mirtorabi D.d.s A Professional Corporation Dentist 2368 Pico Boulevard, Los Angeles, CA 90006 2018-09-20
1083192116 Sanghee Hong Nurse Practitioner 2655 W Olympic Blvd Ste 101, Los Angeles, CA 90006 2018-07-31
1134638919 Joon Hyung Kim Chiropractor 3130 W. Olympic Blvd., Suite 350, Los Angeles, CA 90006 2017-09-25
1578082988 Judy Lee Behavior Technician 900 South Serrano Ave #401, Los Angeles, CA 90006 2017-09-18
1689126773 Seungah Madison Lee Acupuncturist 3053 W. Olympic Blvd, #311, Los Angeles, CA 90006 2016-10-25
1790149789 Kihyun Kim Acupuncturist 975 S. Vermont Ave, #201, Los Angeles, CA 90006 2016-04-06
1407215486 Young Zoo Kim Acupuncturist 1001 S. Vermont Ave, #207, L.a., CA 90006 2016-02-18
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Competitor

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City LOS ANGELES
Zip Code 90006

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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