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General NPI Number Information
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NPI Number | 1619567955
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Entity Type | Organization
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Legal Business Name | DR. YOUNG HO CHA, D.D.S. CORP
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Dates
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Enumeration Date | 01/21/2021
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 3818 PECK RD STE C
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City | EL MONTE
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State | CA
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Zip | 91732-2260
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Country | US
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Telephone | 626-350-0944
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Fax |
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Provider Business Mailing Address
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Address Line | 3818 PECK RD STE C
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City | EL MONTE
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State | CA
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Zip | 91732-2260
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Country | US
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Telephone | 626-350-0944
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. YOUNG HO CHA
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Credential | DOCTOR
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Telephone | 909-725-3290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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