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General NPI Number Information
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NPI Number | 1659383024
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Entity Type | Organization
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Legal Business Name | HMH EMERGENCY MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 100 W CALIFORNIA BLVD
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City | PASADENA
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State | CA
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Zip | 91105-3010
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Country | US
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Telephone | 626-447-0296
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Fax | 626-623-1227
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Provider Business Mailing Address
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Address Line | PO BOX 60259
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City | LOS ANGELES
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State | CA
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Zip | 90060-0259
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Country | US
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Telephone | 626-447-0296
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Fax | 626-623-1227
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Authorized Official
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Title or Position | PHYSICIAN/MANAGING PARTNER
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Name | DR. BRANDON L LEW
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Credential | D.O.
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Telephone | 626-447-0296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | CA
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