Healthcare Provider Details
I. General information
NPI: 1508751801
Provider Name (Legal Business Name): PRECISION HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2025
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
709 N HILL ST STE 17
LOS ANGELES CA
90012-2352
US
IV. Provider business mailing address
709 N HILL ST STE 18
LOS ANGELES CA
90012-2352
US
V. Phone/Fax
- Phone: 213-687-0888
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QC1500X |
| Taxonomy | Community Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JIMMY
C
UNG
Title or Position: CEO
Credential:
Phone: 213-687-0888