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General NPI Number Information
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NPI Number | 1578933164
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Entity Type | Organization
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Legal Business Name | NATURAL HEALTH MEDICAL CENTER INC
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 10/15/2015
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Provider Practice Location Address
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Address Line | 4469 REDONDO BEACH BLVD
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City | LAWNDALE
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State | CA
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Zip | 90260-3465
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Country | US
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Telephone | 310-479-2266
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Fax | 310-479-2044
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Provider Business Mailing Address
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Address Line | 4469 REDONDO BEACH BLVD
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City | LAWNDALE
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State | CA
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Zip | 90260-3465
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Country | US
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Telephone | 310-479-2266
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Fax | 310-479-2044
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Authorized Official
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Title or Position | PRESIDENT
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Name | HUY QUANG HOANG
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Credential | M.D
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Telephone | 310-479-2266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | G67666
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License Number State | CA
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