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General NPI Number Information
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NPI Number | 1801938592
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Entity Type | Organization
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Legal Business Name | TOWN CENTER MEDICAL GROUP
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 06/16/2016
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Provider Practice Location Address
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Address Line | 4082 WHITTIER BLVD SUITE 102
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City | LOS ANGELES
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State | CA
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Zip | 90023-2558
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Country | US
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Telephone | 323-265-0136
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Fax |
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Provider Business Mailing Address
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Address Line | 4082 WHITTIER BLVD SUITE 102
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City | LOS ANGELES
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State | CA
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Zip | 90023-2558
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Country | US
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Telephone | 323-265-0136
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Fax | 626-265-0166
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | DR. MARK CHOI
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Credential | MD
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Telephone | 626-808-8765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A38076
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License Number State | CA
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