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General NPI Number Information
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NPI Number | 1952468910
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Entity Type | Organization
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Legal Business Name | HANMI MEDICAL CLINIC, INC.
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 325 S WESTERN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90020-3804
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Country | US
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Telephone | 213-480-0404
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Fax | 213-480-1519
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Provider Business Mailing Address
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Address Line | 325 S WESTERN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90020-3804
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Country | US
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Telephone | 213-480-0404
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Fax | 213-480-1519
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAIK HYUN CHANG
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Credential | M.D.
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Telephone | 213-480-0404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A37230
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License Number State | CA
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