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Organization
CERRITOS ENDOSCOPIC MEDICAL CENTER, INC.
Active
Organization
CERRITOS ENDOSCOPIC MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAESOO PAK MD (MEDICAL DIRECTOR)
(562) 809-8082
Entity
Organization
Contact information
Practice address
11845 SOUTH ST, CERRITOS, CA 90703-6825
(562) 809-8082
Mailing address
11845 SOUTH STREET, CERRITOS, CA 90703
(562) 809-8082
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
W22596
NULL
Other
Enumeration date
08/23/2006
Last updated
01/06/2009
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