WILSHIRE ENDOSCOPY CENTER
NPI 1619181765
Clinic/Center - Endoscopy in Los Angeles, CA

Active since May 09, 2007CLIA 05D2101636 · Waiver
3200 WILSHIRE BLVD STE 101, LOS ANGELES, CA 90010(213) 739-9988(213) 739-0030 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wilshire Endoscopy Center NPPES

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

WILSHIRE ENDOSCOPY CENTER (NPI 1619181765) is a healthcare organization registered as an endoscopy in Los Angeles, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 3, 2027 and lists Ho S Bae, President, as its authorized official.

NPPES Registry Identity

NPI1619181765
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameLEE & BAE GI MEDICAL CORPORATION
Location Address3200 WILSHIRE BLVD STE 101Los Angeles, CA 90010-1307
Mailing Address3200 Wilshire Blvd Ste 101Los Angeles, CA 90010-1307 · (213) 739-9988 · Fax (213) 739-0030
Fax(213) 739-0030
Organization SubpartNo
Authorized OfficialHo S BaePresident · (213) 739-9988
Enumeration DateMay 9, 2007
Last NPPES UpdateMay 12, 2015
NPI 1619181765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
3200 WILSHIRE BLVD STE 101, Los Angeles, CA 90010

Other Names 1

Doing Business AsWilshire Endoscopy Center

Other Identifiers 1

Medicare PINS051576CA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2101636
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
September 04, 2025
Certificate Expiration Date
September 03, 2027
Laboratory Director
ANDREW KIM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wilshire Endoscopy Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619181765, enumerated as an "organization" on May 09, 2007.

The provider is located at 3200 WILSHIRE BLVD STE 101 LOS ANGELES, CA 90010 and the phone number is (213) 739-9988.

Clinic/Center with taxonomy code 261QE0800X and a focus in Endoscopy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.