| Min Young Cha Md Inc | |
|
520 S Virgil Ave 507 Los Angeles CA 90020-1425 | |
| (213) 480-7770 | |
| (213) 487-7770 |
| Full Name | Min Young Cha Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 S Virgil Ave, Los Angeles, California |
| Authorized Official Name and Position | Min Young Cha (PRESIDENT) |
| Authorized Official Contact | 2134807770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Min Young Cha Md Inc 520 S Virgil Ave 507 Los Angeles CA 90020-1425 Ph: (213) 480-7770 | Min Young Cha Md Inc 520 S Virgil Ave 507 Los Angeles CA 90020-1425 Ph: (213) 480-7770 |
| NPI Number | 1205108024 |
|---|---|
| Provider Enumeration Date | 02/09/2012 |
| Last Update Date | 08/14/2014 |
| Medicare PECOS PAC ID | 9931480555 |
|---|---|
| Medicare Enrollment ID | O20161219002814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205108024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Min Y Cha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700972403 PECOS PAC ID: 2163494329 Enrollment ID: I20040809000533 |
| Provider Name | Jae H Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184053662 PECOS PAC ID: 7517201304 Enrollment ID: I20181205001761 |
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