| Chungsuk Medical Group, Inc. | |
|
103 Amethyst Cir Gardena CA 90248-3374 | |
| (310) 538-8679 | |
| Not Available |
| Full Name | Chungsuk Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 103 Amethyst Cir, Gardena, California |
| Authorized Official Name and Position | Chung Hee Suk (PRESIDENT) |
| Authorized Official Contact | 3105388679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chungsuk Medical Group, Inc. 103 Amethyst Cir Gardena CA 90248-3374 Ph: (310) 538-8679 | Chungsuk Medical Group, Inc. 103 Amethyst Cir Gardena CA 90248-3374 Ph: (310) 538-8679 |
| NPI Number | 1083659908 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083659908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A53525 (California) | Primary |
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