WOORI MEDICAL GROUP PROFESSIONAL CORP
NPI 1275764706
General Practice in San Diego, CA
About Woori Medical Group Professional Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOORI MEDICAL GROUP PROFESSIONAL CORP (NPI 1275764706) is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through November 28, 2027 and lists Ro Jong Park, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Woori Medical Group Professional Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Woori Medical Group Professional Corp, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D1077007
Woori Medical Group, Professional Corp · San Diego, CAFrequently 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 Woori Medical Group Professional Corp's NPI number?
The NPI number for Woori Medical Group Professional Corp is 1275764706. It was assigned to this organization in the NPPES registry on July 31, 2009.
Where is Woori Medical Group Professional Corp located?
Woori Medical Group Professional Corp is located at 7825 Engineer Rd Ste 101, San Diego, CA 92111. The listed phone number is (858) 277-7111.
What is Woori Medical Group Professional Corp's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Woori Medical Group Professional Corp enrolled in Medicare?
Yes. Woori Medical Group Professional Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Woori Medical Group Professional Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Woori Medical Group Professional Corp, in Family Practice, General Practice and Neurology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Woori Medical Group Professional Corp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1077007) is associated with this NPI, valid through November 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Woori Medical Group Professional Corp was last updated on March 20, 2015. 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.
# Woori Medical Group Professional Corp · NPI 1275764706
General Practice organization in San Diego, California. Organization record, active in the CMS NPPES registry since July 31, 2009.
## Identity
- **NPI:** 1275764706 (Entity type: Organization)
- **Enumerated:** July 31, 2009
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Ro Park, PRESIDENT
## Practice location
- **Address:** 7825 ENGINEER RD, STE 101, San Diego, CA 92111-1924
- **Phone:** (858) 277-7111 · **Fax:** (858) 277-7667
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), General Practice (1), Neurology (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2015
- **Other identifiers:** Medicaid 1275764706 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275764706) · Data from the CMS NPPES public registry.