ATLAS19 LLC
NPI 1124612775
Clinic/Center in San Gabriel, CA

Active since February 24, 2021
100 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776(626) 628-8008 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About ATLAS19 LLC

This page provides the complete NPI Profile along with additional information for Atlas19 Llc, a provider established in San Gabriel, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1124612775 assigned on February 2021. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Weston Suh (Sole Member)

NPI
1124612775 Verify this NPI
Provider Name
ATLAS19 LLC
Entity Type
Organization
Location Address
100 S SAN GABRIEL BLVD SAN GABRIEL, CA 91776
Location Phone
(626) 628-8008
Mailing Address
2275 HUNTINGTON DR # 314 SAN MARINO, CA 91108
Mailing Phone
(626) 628-8008
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-24-2021
Last Update Date
02-24-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WESTON SUH

Authorized Official Title
SOLE MEMBER
Authorized Official Phone
(626) 628-8008

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124612775, enumerated as an "organization" on February 24, 2021.

The provider is located at 100 S SAN GABRIEL BLVD SAN GABRIEL, CA 91776 and the phone number is (626) 628-8008.

Clinic/Center with taxonomy code 261Q00000X.