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951 Starbuck St Ste C Fullerton CA 92833-5720 | |
(714) 869-3919 | |
(714) 869-3906 |
Full Name | |
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Speciality | Clinic/center |
Location | 951 Starbuck St Ste C, Fullerton, California |
Authorized Official Name and Position | Jong Chan Kim (PRESIDENT) |
Authorized Official Contact | 7148693919 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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951 Starbuck St Ste C Fullerton CA 92833-5720 Ph: (714) 869-3919 | 951 Starbuck St Ste C Fullerton CA 92833-5720 Ph: (714) 869-3919 |
NPI Number | 1124301999 |
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Provider Enumeration Date | 09/27/2011 |
Last Update Date | 09/27/2011 |
Identifier | Type | State | Issuer |
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1124301999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | AC13821 (California) | Primary |
Uma P Rao, Md., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 N Harbor Blvd, Suite 120, Fullerton, CA 92835 Phone: 714-992-2765 Fax: 714-681-9015 | |