| Korea Medical Group Inc | |
|
3544 W Olympic Blvd Ste 105 Los Angeles CA 90019-3529 | |
| (323) 731-0681 | |
| (323) 731-0832 |
| Full Name | Korea Medical Group Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3544 W Olympic Blvd Ste 105, Los Angeles, California |
| Authorized Official Name and Position | Yong Tai Lee (DIRECTOR) |
| Authorized Official Contact | 3237310681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Korea Medical Group Inc 3544 W Olympic Blvd Ste 105 Los Angeles CA 90019-3529 Ph: (323) 731-0681 | Korea Medical Group Inc 3544 W Olympic Blvd Ste 105 Los Angeles CA 90019-3529 Ph: (323) 731-0681 |
| NPI Number | 1467564757 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 12/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467564757 | NPI | - | NPPES |
| GR0090150 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G67974 (California) | Primary |
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