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General NPI Number Information
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NPI Number | 1942591847
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Entity Type | Organization
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Legal Business Name | JONAH MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 11/23/2024
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Provider Practice Location Address
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Address Line | 866 S WESTMORELAND AVE STE 101
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City | LOS ANGELES
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State | CA
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Zip | 90005-2372
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Country | US
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Telephone | 213-380-2266
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Fax | 213-315-5195
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Provider Business Mailing Address
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Address Line | 866 S. WESTMORELAND AVENUE SUITE 101
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City | LOS ANGELES
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State | CA
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Zip | 90005
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Country | US
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Telephone | 800-821-5675
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Fax | 213-289-1166
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. EDWIN CHOI
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Credential | M.D.
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Telephone | 800-821-5675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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