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General NPI Number Information
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NPI Number | 1548061955
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Entity Type | Organization
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Legal Business Name | KLMH ENTERPRISES LLC
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 12282 BEACH BLVD
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City | STANTON
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State | CA
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Zip | 90680-3970
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Country | US
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Telephone | 714-694-3205
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Fax |
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Provider Business Mailing Address
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Address Line | 12282 BEACH BLVD
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City | STANTON
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State | CA
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Zip | 90680-3970
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JEONG MEE MOON
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Credential |
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Telephone | 714-345-5478
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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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