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LIFE MEDICAL GROUP, INC
NPI 1942290903
Specialist in Diamond Bar, CA

Active since October 21, 2005
1900 S BREA CANYON RD UNIT B, DIAMOND BAR, CA 91765(626) 913-1116(626) 913-1261 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 26, 2024, Oct 2, 2023, Feb 17, 2020 (3 updates tracked since 2020).

About Life Medical Group, Inc NPPES

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

LIFE MEDICAL GROUP, INC (NPI 1942290903) is a healthcare organization registered as a specialist in Diamond Bar, California and active in the NPI registry since October 2005. The organization lists Sung J Yoo, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1942290903
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLIFE MEDICAL GROUP, INC
Location Address1900 S BREA CANYON RD UNIT BDiamond Bar, CA 91765-4059
Mailing Address1900 S Brea Canyon Rd Unit BDiamond Bar, CA 91765-4059 · (626) 913-1116 · Fax (626) 913-1261
Phone(626) 913-1116
Fax(626) 913-1261
Organization SubpartNo
Authorized OfficialSung J YooMedical Director · (626) 913-1116
Enumeration DateOctober 21, 2005
Last NPPES UpdateJune 26, 20243 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1942290903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G78232
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1900 S BREA CANYON RD UNIT B, Diamond Bar, CA 91765
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Other Identifiers 1

MedicaidGR0098190CA

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Life Medical Group, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sung Yoo, MD
Gastroenterology
NPI 1437141587
1900 S BREA CANYON RD UNIT B
Diamond Bar, CA 91765
(626) 913-1116
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Life Medical Group, Inc's NPI number?

The NPI number for Life Medical Group, Inc is 1942290903. It was assigned to this organization in the NPPES registry on October 21, 2005.

Where is Life Medical Group, Inc located?

Life Medical Group, Inc is located at 1900 S Brea Canyon Rd Unit B, Diamond Bar, CA 91765. The listed phone number is (626) 913-1116.

What is Life Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Life Medical Group, Inc enrolled in Medicare?

Yes. Life Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Life Medical Group, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Life Medical Group, Inc was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.