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General NPI Number Information
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NPI Number | 1144838087
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Entity Type | Organization
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Legal Business Name | GIATROS HEALTH INC., A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/16/2020
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 18000 STUDEBAKER DR
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City | CERRITOS
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State | CA
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Zip | 90703
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Country | US
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Telephone | 323-909-0633
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Fax | 323-909-0633
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Provider Business Mailing Address
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Address Line | 18000 STUDEBAKER DR
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City | CERRITOS
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State | CA
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Zip | 90703
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Country | US
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Telephone | 323-909-0633
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Fax | 323-909-0633
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Authorized Official
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Title or Position | CEO
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Name | HYONG KEN KIM
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Credential | MD
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Telephone | 951-444-9240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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