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General NPI Number Information
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NPI Number | 1780141812
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Entity Type | Organization
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Legal Business Name | SOCHUN OPERATION, INC.
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 1441 S. RIVERSIDE AVE.
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City | RIALTO
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State | CA
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Zip | 92376
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Country | US
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Telephone | 909-877-2340
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Fax | 909-877-8954
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Provider Business Mailing Address
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Address Line | 1441 S. RIVERSIDE AVE.
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City | RIALTO
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State | CA
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Zip | 92376
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Country | US
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Telephone | 909-877-2340
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Fax | 909-877-8954
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Authorized Official
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Title or Position | CEO
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Name | WOO HYUN PARK
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Credential |
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Telephone | 213-422-8022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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