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General NPI Number Information
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NPI Number | 1447068747
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Entity Type | Organization
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Legal Business Name | ALHAMBRA VILLA, INC.
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 528 HOWARD ST
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City | ALHAMBRA
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State | CA
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Zip | 91801-3302
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Country | US
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Telephone | 626-656-4222
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Fax | 714-681-1282
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Provider Business Mailing Address
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Address Line | 528 HOWARD ST
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City | ALHAMBRA
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State | CA
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Zip | 91801-3302
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Country | US
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Telephone | 626-656-4222
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Fax | 714-681-1282
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Authorized Official
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Title or Position | OWNER
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Name | HYO SOOK KIM
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Credential |
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Telephone | 213-820-3244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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