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General NPI Number Information
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NPI Number | 1871470716
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Entity Type | Organization
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Legal Business Name | RADIANT APEX LLC
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 607 N ANAHEIM BLVD
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City | ANAHEIM
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State | CA
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Zip | 92805-2650
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Country | US
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Telephone | 213-359-5566
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 W 8TH ST APT 3410
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City | LOS ANGELES
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State | CA
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Zip | 90017-5953
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Country | US
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Telephone | 213-359-5566
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | KAY MEEWAN LEE
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Credential |
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Telephone | 213-359-5566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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