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General NPI Number Information
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NPI Number | 1659485498
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Entity Type | Organization
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Legal Business Name | HYUNG WON OH,INC.
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 639 S NEW HAMPSHIRE AVE 2ND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90005-1362
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Country | US
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Telephone | 213-387-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 21143 HAWTHORNE BLVD SUITE 151
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City | TORRANCE
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State | CA
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Zip | 90503-4615
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Country | US
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Telephone | 310-894-1713
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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. HYUNG WON OH
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Credential | MD
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Telephone | 213-387-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A35009
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License Number State | CA
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