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505 S Virgil Ave Suite 102 Los Angeles CA 90020-1406 | |
(213) 381-3630 | |
(213) 381-3631 |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 505 S Virgil Ave, Los Angeles, California |
Authorized Official Name and Position | Dae Soon Rheem (PRESIDENT) |
Authorized Official Contact | 2133813630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1646 Glorietta Ave Glendale CA 91208-2010 Ph: (213) 381-3630 | 505 S Virgil Ave Suite 102 Los Angeles CA 90020-1406 Ph: (213) 381-3630 |
NPI Number | 1366860827 |
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Provider Enumeration Date | 04/02/2014 |
Last Update Date | 04/11/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366860827 | NPI | - | NPPES |
A92866 | Other | CA | CALIFORNIA MEDICAL BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | A92866 (California) | Primary |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |