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General NPI Number Information
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NPI Number | 1245545789
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Entity Type | Organization
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Legal Business Name | YONSEI PAIN CLINIC INC
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Dates
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Enumeration Date | 08/09/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 300 S HOBART BLVD STE 210
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City | LOS ANGELES
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State | CA
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Zip | 90020-3662
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Country | US
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Telephone | 213-444-6255
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Fax | 866-611-7731
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Provider Business Mailing Address
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Address Line | 300 S HOBART BLVD STE 210
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City | LOS ANGELES
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State | CA
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Zip | 90020-3662
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Country | US
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Telephone | 213-444-6255
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Fax | 866-611-7731
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Authorized Official
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Title or Position | OWNER
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Name | PHILIP DOH
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Credential | M.D.
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Telephone | 213-718-1717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | C53318
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License Number State | CA
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