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General NPI Number Information
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NPI Number | 1306173398
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Entity Type | Organization
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Legal Business Name | HOPE MEDICAL GROUP
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Dates
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Enumeration Date | 11/11/2009
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 2099 S ATLANTIC BLVD STE I
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City | MONTEREY PARK
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State | CA
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Zip | 91754-6355
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Country | US
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Telephone | 323-622-8970
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Fax | 323-271-4801
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Provider Business Mailing Address
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Address Line | 2099 S ATLANTIC BLVD STE I
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City | MONTEREY PARK
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State | CA
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Zip | 91754-6355
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Country | US
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Telephone | 323-622-8970
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Fax | 323-271-4801
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM CHU
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Credential | PA-C
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Telephone | 323-622-8970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | CA
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