Irradiance Medical Group Inc
NPI 1740213198ActiveOrganization· Dermatology, Procedural Dermatology· Los Angeles, CA
Dermatology, Procedural Dermatology in Los Angeles, California, registered in NPPES in July 2006. The authorized official on file is Christopher Tsung Lung Ho, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740213198 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 9, 2006 |
| Last updated in NPPES | Sep 1, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, Procedural Dermatology Primary | 207NS0135X | G77152 | CA |
| Dermatology, Procedural Dermatology | 207NS0135X | A55242 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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