Irradiance Medical Group Inc in Los Angeles - Procedural Dermatology
Irradiance Medical Group Inc - NPI 1740213198
Irradiance Medical Group Inc is a Procedural Dermatology in Los Angeles, California. Irradiance Medical Group Inc practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Irradiance Medical Group Inc is 1740213198. The last update date is 2016-09-01.
Irradiance Medical Group Inc's current location address is 420 E 3rd St Ste 805, Los Angeles, California. You can contact this provider via phone number 2136873214 and fax number 2136870622. The mailing address for Irradiance Medical Group Inc is 420 E 3rd St Ste 805, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Irradiance Medical Group Inc |
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Address | 420 E 3rd St Ste 805, Los Angeles, California |
Phone Number | 2136873214 |
Fax Number | 2136870622 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Ho Tsung Lung Christopher |
Credentials | M.D. |
Telephone Number | 2136873214 |
NPI Number Detail
NPI Number | 1740213198 |
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Provider Enumeration Date | 2006-07-09 |
Last Updated Date | 2016-09-01 |
Provider Mailing Address Detail
Address | 420 E 3rd St Ste 805 |
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City | Los Angeles |
State | California (CA) |
Post Code | 900131646 |
Phone Number | 2136873214 |
Fax Number | 2136870622 |
Provider's Primary Taxonomy Detail
Speciality | Procedural Dermatology |
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Taxonomy | 207Ns0135X |
Licence No | A55242 |
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00G771521 | CA | -- |
Post Comment/ Review Below
What is the Irradiance Medical Group Inc's unique identification number?
The Irradiance Medical Group Inc has been assigned the NPI (National Provider Identifier) Number 1740213198 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Irradiance Medical Group Inc?
The Irradiance Medical Group Inc is situated at 420 E 3Rd St Ste 805, in the city of Los Angeles, state of CA, with the zip code 900131646.
What is the Irradiance Medical Group Inc's specialty and taxonomy code?
The Irradiance Medical Group Inc's specialty is Procedural Dermatology, and the corresponding taxonomy code is 207Ns0135X.
When was the Irradiance Medical Group Inc's 1740213198 issued?
The Irradiance Medical Group Inc's 1740213198 was issued on 2006-07-09.
When was the information pertaining to Irradiance Medical Group Inc most recently updated or revised?
The details related to Irradiance Medical Group Inc, including its address, specialty, and other relevant information, were last updated or revised on 2016-09-01.
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