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Organization
FIRST FOUNTAINS MEDICAL CENTER INC.
Active
Organization
FIRST FOUNTAINS MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KER-CHOW CHANG M.D. (PRESIDENT)
(714) 255-1148
Entity
Organization
Contact information
Practice address
1480 S HARBOR BLVD STE 1, LA HABRA, CA 90631-7506
(714) 255-1148
(714) 482-0778
Mailing address
1480 S HARBOR BLVD STE 1, LA HABRA, CA 90631-7506
(714) 255-1148
(714) 482-0778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A48893
CA
Other
Enumeration date
10/03/2006
Last updated
04/17/2018
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