Healthcare Provider Details

I. General information

NPI: 1225759913
Provider Name (Legal Business Name): OSANG LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2022
Last Update Date: 04/08/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 N MARENGO AVE FL 3
PASADENA CA
91101-1504
US

IV. Provider business mailing address

215 N MARENGO AVE FL 3
PASADENA CA
91101-1504
US

V. Phone/Fax

Practice location:
  • Phone: 844-760-0556
  • Fax:
Mailing address:
  • Phone: 844-760-0556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MIN HYUNG CHO
Title or Position: DIRECTOR
Credential:
Phone: 844-760-0556