Healthcare Provider Details

I. General information

NPI: 1235391087
Provider Name (Legal Business Name): SEOUL MARKETING PURBLIC RELATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 W SUNSET BLVD
LOS ANGELES CA
90069-3701
US

IV. Provider business mailing address

12933 DROXFORD ST
CERRITOS CA
90703-6067
US

V. Phone/Fax

Practice location:
  • Phone: 310-887-1730
  • Fax: 310-887-1734
Mailing address:
  • Phone: 310-266-8921
  • Fax: 310-775-9762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberRN493968
License Number StateCA

VIII. Authorized Official

Name: MRS. SUE SOOKJA KIM
Title or Position: RNFA
Credential: RNFA
Phone: 310-266-8921