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NPI Code Detail

MEDICARE: AJU MEDICAL AND WELLNESS CENTER A PROFESSIONAL CORP

MEDICARE: AJU MEDICAL AND WELLNESS CENTER A PROFESSIONAL CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0014XInterventional Pain Medicine Physician

General Provider Information

NPI Number : 1538596457
Entity Type Code : Organization
Provider Name (Legal Business Name) : AJU MEDICAL AND WELLNESS CENTER A PROFESSIONAL CORP
Provider Business Mailing Address
First Line : 2560 W OLYMPIC BLVD
Second Line : SUITE 205
City : LOS ANGELES
State : CA
Zip : 90006-2998
Country : US
Telephone Number : 213-999-7770
Fax Number : 866-505-1544
Provider Business Practice Location Address
First Line : 2560 W OLYMPIC BLVD
Second Line : SUITE 205
City : LOS ANGELES
State : CA
Zip : 90006-2998
Country : US
Telephone Number : 213-999-7770
Fax Number : 866-505-1544
Authorized Official
Title or Position : PRESIDENT
Name : DR. NELSON LEE
Credential : DC
Telephone Number : 213-383-0007
Provider Enumeration Date : 10/09/2013
Last Update Date : 10/09/2013

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Practice Fax:

Directions to “AJU MEDICAL AND WELLNESS CENTER A PROFESSIONAL CORP ” Practice Location

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