Healthcare Provider Details

I. General information

NPI: 1063219368
Provider Name (Legal Business Name): DK BILLING MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 03/02/2025
Certification Date: 03/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1138 E 6TH ST UNIT 102
CORONA CA
92879-1615
US

IV. Provider business mailing address

4708 OAKWOOD AVE APT 405
LOS ANGELES CA
90004-3557
US

V. Phone/Fax

Practice location:
  • Phone: 310-803-3313
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EUN JUNG HONG
Title or Position: ADMINISTRATOR
Credential:
Phone: 310-809-3313