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General NPI Number Information
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NPI Number | 1912899709
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Entity Type | Organization
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Legal Business Name | RESET LASER CLINIC
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 3130 W OLYMPIC BLVD STE 310
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City | LOS ANGELES
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State | CA
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Zip | 90006-2491
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Country | US
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Telephone | 213-703-8220
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Fax |
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Provider Business Mailing Address
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Address Line | 3130 W OLYMPIC BLVD STE 310
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City | LOS ANGELES
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State | CA
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Zip | 90006-2491
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Country | US
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Telephone | 213-703-8220
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SEUNG HEE SEO
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Credential |
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Telephone | 213-703-4443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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