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General NPI Number Information
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NPI Number | 1487428173
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Entity Type | Organization
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Legal Business Name | LA CUARTA URGENT CARE
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 7941 PAINTER AVE
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City | WHITTIER
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State | CA
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Zip | 90602-2414
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Country | US
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Telephone | 562-321-5084
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Fax | 562-321-5408
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Provider Business Mailing Address
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Address Line | PO BOX 9220
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City | WHITTIER
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State | CA
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Zip | 90608-9220
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Country | US
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Telephone | 562-321-5084
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Fax | 562-321-5408
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. JOSEPH I KANG
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Credential | D.O
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Telephone | 562-321-5084
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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 |
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