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SUNMOON URGENT CARE MEDICAL GROUP INC
NPI 1144316217
Internal Medicine in Los Angeles, CA

Active since October 05, 2006CLIA 05D1023516 · Waiver
1161 1/2 LOGAN ST, LOS ANGELES, CA 90026(213) 484-1289(213) 484-2339 Get Directions Write a Review

NPPES record last updated: October 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sunmoon Urgent Care Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNMOON URGENT CARE MEDICAL GROUP INC (NPI 1144316217) is a healthcare organization registered as an internal medicine in Los Angeles, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Xia Li, Md, as its authorized official.

NPPES Registry Identity

NPI1144316217
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUNMOON URGENT CARE MEDICAL GROUP INC
Location Address1161 1/2 LOGAN STLos Angeles, CA 90026-3210
Mailing AddressPo Box 573Monterey Park, CA 91754-0573
Phone(213) 484-1289
Fax(213) 484-2339
Organization SubpartNo
Authorized OfficialXia LiMd · (213) 484-1289
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 22, 2014
✔ NPI 1144316217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · W17844
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1161 1/2 LOGAN ST, Los Angeles, CA 90026
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Other Identifiers 2

Medicare ID-Type UnspecifiedW17844CA
Medicaid00A845840CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1023516

Sunmoon Urgent Care Medical Group · Los Angeles, CA
Active · expires Mar 16, 2028
CLIA Number05D1023516
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorXia Li MD
Laboratory Phone(213) 977-1286
Laboratory LocationSunmoon Urgent Care Medical Group1304 Echo Park Ave, Los Angeles, CA 90026
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunmoon Urgent Care Medical Group Inc's NPI number?

The NPI number for Sunmoon Urgent Care Medical Group Inc is 1144316217. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Sunmoon Urgent Care Medical Group Inc located?

Sunmoon Urgent Care Medical Group Inc is located at 1161 1/2 Logan St, Los Angeles, CA 90026. The listed phone number is (213) 484-1289.

What is Sunmoon Urgent Care Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Sunmoon Urgent Care Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1023516) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sunmoon Urgent Care Medical Group Inc was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.