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SUK MEDICAL CLINIC INC
NPI 1720581382
Internal Medicine in Gardena, CA

Active since March 09, 2018CLIA 05D1055396 · Waiver
15435 S WESTERN AVE STE 201, GARDENA, CA 90249(310) 515-9874 Get Directions Write a Review

NPPES record last updated: March 9, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Suk Medical Clinic Inc NPPES

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

SUK MEDICAL CLINIC INC (NPI 1720581382) is a healthcare organization registered as an internal medicine in Gardena, California and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through June 15, 2028 and lists Larry Taryoung Suk, Physician, as its authorized official.

NPPES Registry Identity

NPI1720581382
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUK MEDICAL CLINIC INC
Location Address15435 S WESTERN AVE STE 201Gardena, CA 90249-4324
Mailing Address15435 S Western Ave Ste 201Gardena, CA 90249-4324 · (310) 515-9874
Phone(310) 515-9874
Organization SubpartYes
Authorized OfficialLarry Taryoung SukPhysician · (310) 515-9871
Enumeration DateMarch 9, 2018
✔ NPI 1720581382 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 · A52233
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.
15435 S WESTERN AVE STE 201, Gardena, CA 90249
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suk Medical Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Suk Medical Clinic Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Kyoung Jin Kim, AGNP-BC
Nurse Practitioner
NPI 1609392919
15435 S WESTERN AVE STE 201
Gardena, CA 90249
(213) 215-7323
✔ PECOSSame address
Flora Lim
Nurse Practitioner
NPI 1821699521
15435 S WESTERN AVE STE 201
Gardena, CA 90249
(310) 515-9871
✔ PECOSSame address
Larry Suk, MD
Internal Medicine
NPI 1912961939
15435 S WESTERN AVE #201
Gardena, CA 90249
(310) 515-9871
✔ PECOSSame address

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 05D1055396

Suk Medical Clinic · Gardena, CA
Active · expires Jun 15, 2028
CLIA Number05D1055396
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorLarry T. Suk
Laboratory Phone(310) 515-9871
Laboratory LocationSuk Medical Clinic15435 South Western Ave #201, Gardena, CA 90249
CLIA data matches this NPI record on: Name Phone
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 Suk Medical Clinic Inc's NPI number?

The NPI number for Suk Medical Clinic Inc is 1720581382. It was assigned to this organization in the NPPES registry on March 9, 2018.

Where is Suk Medical Clinic Inc located?

Suk Medical Clinic Inc is located at 15435 S Western Ave Ste 201, Gardena, CA 90249. The listed phone number is (310) 515-9874.

What is Suk Medical Clinic Inc's specialty?

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

Is Suk Medical Clinic Inc enrolled in Medicare?

Yes. Suk Medical Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Suk Medical Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Suk Medical Clinic Inc, in Internal Medicine and Nurse Practitioner. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Suk Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1055396) is associated with this NPI, valid through June 15, 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 Suk Medical Clinic Inc was last updated on March 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.