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General NPI Number Information
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NPI Number | 1134791338
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Entity Type | Organization
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Legal Business Name | TOKYO URGENT CARE A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 333 S ALAMEDA ST STE 203
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City | LOS ANGELES
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State | CA
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Zip | 90013-1734
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Country | US
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Telephone | 909-723-0057
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Fax |
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Provider Business Mailing Address
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Address Line | 3111 LOS FELIZ BLVD STE 102
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City | LOS ANGELES
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State | CA
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Zip | 90039-1599
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Country | US
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Telephone | 909-723-0057
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH LOCHINVAR DINGLASAN SR.
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Credential | M.D.
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Telephone | 909-723-0057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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