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General NPI Number Information
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NPI Number | 1700090248
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Entity Type | Organization
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Legal Business Name | UNITY MEDICAL CENTER
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8805 SANTA MONICA BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4535
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Country | US
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Telephone | 310-855-7546
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Fax | 310-855-0290
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Provider Business Mailing Address
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Address Line | 8805 SANTA MONICA BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4535
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Country | US
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Telephone | 310-855-7546
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Fax | 310-855-0290
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SAMUEL K K CHUNG
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Credential | MD
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Telephone | 310-855-7546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | FNP18239
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License Number State | CA
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