Universal Specialties Medical Group, P.c.

NPI 1639405293 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1639405293
Enumeration Date 11/02/2009
Last Updated 11/02/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name TAE SOON TAE
Position PRESIDENT
Phone (213) 536-4242
Fax (866) 438-5974
Practice Location
440 SHATTO PL
2ND FLOOR #208
LOS ANGELES CA, 90020-1765, US
Phone (213) 536-4242
Fax (866) 438-5974
Business Location
440 SHATTO PL
2ND FLOOR #208
LOS ANGELES CA, 90020-1765, US
Phone (213) 536-4242
Fax (866) 438-5974
Toxanomy
Taxonomy Code 208100000X
License State California
License Number A32370
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According to our database, Universal Specialties Medical Group, P.c. NPI is 1639405293, taxonomy code is 208100000X and license number is A32370, license state is located at California. Universal Specialties Medical Group, P.c. physically located at 440 Shatto Pl, Los Angeles CA, 90020-1765. NPI Number 1033115704 has the healthcare provider type.

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1639405293 NPI number is provided on an as is basis without warranty of any kind. 1639405293 is maintained by the National Plan & Provider Enumeration System. The contents of Universal Specialties Medical Group, P.c. are for informational purposes only.