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General NPI Number Information
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NPI Number | 1922234707
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Entity Type | Organization
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Legal Business Name | UNIVERSAL HEALTH FOUNDATION
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Dates
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Enumeration Date | 06/06/2009
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 2020 E 1ST ST
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City | LOS ANGELES
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State | CA
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Zip | 90033-3916
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Country | US
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Telephone | 323-980-9600
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Fax | 323-980-9676
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Provider Business Mailing Address
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Address Line | 2020 E 1ST ST
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City | LOS ANGELES
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State | CA
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Zip | 90033-3916
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Country | US
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Telephone | 323-980-9600
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Fax | 323-980-9676
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Authorized Official
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Title or Position | CFO
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Name | MR. AUGUSTO V GANAY
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Credential |
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Telephone | 323-980-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State | CA
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