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General NPI Number Information
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NPI Number | 1255205431
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Entity Type | Organization
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Legal Business Name | KLA HEALTHCARE INC
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 9828 GARDEN GROVE BLVD STE 101
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City | GARDEN GROVE
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State | CA
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Zip | 92844-1652
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Country | US
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Telephone | 714-534-4555
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Fax | 714-534-5127
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Provider Business Mailing Address
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Address Line | 9828 GARDEN GROVE BLVD STE 101
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City | GARDEN GROVE
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State | CA
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Zip | 92844-1652
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Country | US
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Telephone | 714-534-4555
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Fax | 714-534-5127
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Authorized Official
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Title or Position | CFO
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Name | JEONG MOOK CHOI
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Credential | RPH
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Telephone | 714-534-4555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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