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General NPI Number Information
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NPI Number | 1801728225
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Entity Type | Organization
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Legal Business Name | CALIFORNIA JKC NEUROLOGY MEDICAL INC
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 3700 WILSHIRE BLVD STE 200
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City | LOS ANGELES
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State | CA
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Zip | 90010-2903
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Country | US
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Telephone | 213-487-3060
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 WILSHIRE BLVD STE 200
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City | LOS ANGELES
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State | CA
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Zip | 90010-2903
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KYUNG KU CHO
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Credential | MD
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Telephone | 213-380-0779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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