Bethel Eye Center Medical Corporation
NPI 1972980191ActiveOrganization· Ophthalmology· Los Angeles, CA
Ophthalmology in Los Angeles, California, registered in NPPES in April 2015. The authorized official on file is Wonkyu Pak, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972980191 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 27, 2015 |
| Last updated in NPPES | Jun 28, 2022 |
| Certified by provider | Jun 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | G59023 | 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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