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General NPI Number Information
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NPI Number | 1811129091
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Entity Type | Organization
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Legal Business Name | ASIAN PACIFIC HEALTH CARE VENTURE, INC.
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 04/21/2014
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Provider Practice Location Address
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Address Line | 180 UNION PL
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City | LOS ANGELES
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State | CA
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Zip | 90026-5715
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Country | US
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Telephone | 323-644-3880
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Fax | 323-660-0935
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Provider Business Mailing Address
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Address Line | 4216 FOUNTAIN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90029-2256
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Country | US
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Telephone | 323-644-3880
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Fax | 323-660-0935
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | KAZUE SHIBATA
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Credential |
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Telephone | 323-644-3880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | CA
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