Irradiance Medical Group

NPI 1740213198 - Dermatology - 207NS0135X

NPI Details
NPI 1740213198
Enumeration Date 07/09/2006
Last Updated 11/28/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CHRISTOPHER TSUNG LUNG CHRISTOPHER
Position OWNER
Phone (213) 687-3214
Fax (213) 687-0622
Practice Location
420 E 3RD ST STE 805
LOS ANGELES CA, 90013-1646, US
Phone (213) 687-3214
Fax (213) 687-0622
Business Location
420 E 3RD ST STE 805
LOS ANGELES CA, 90013-1646, US
Phone (213) 687-3214
Fax (213) 687-0622
Toxanomy
Taxonomy Code 207NS0135X
License State California
License Number A55242
Remove 1740213198 NPI Number
 

According to our database, Irradiance Medical Group NPI is 1740213198, taxonomy code is 207NS0135X and license number is A55242, license state is located at California. Irradiance Medical Group physically located at 420 E 3rd St Ste 805, Los Angeles CA, 90013-1646. NPI Number 1033115704 has the healthcare provider type.

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1740213198 NPI number is provided on an as is basis without warranty of any kind. 1740213198 is maintained by the National Plan & Provider Enumeration System. The contents of Irradiance Medical Group are for informational purposes only.