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General NPI Number Information
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NPI Number | 1548631369
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Entity Type | Organization
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Legal Business Name | KOREATOWN URGENT CARE CENTER
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Dates
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Enumeration Date | 10/20/2015
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Last Update Date | 10/23/2015
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Provider Practice Location Address
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Address Line | 505 S VIRGIL AVE STE 101
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City | LOS ANGELES
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State | CA
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Zip | 90020-1407
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Country | US
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Telephone | 213-384-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 AIRPORT PLAZA DR STE 150
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City | LONG BEACH
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State | CA
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Zip | 90815-1275
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Country | US
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Telephone | 562-766-2000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MIN YOUNG CHA
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Credential | M.D.
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Telephone | 213-480-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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