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Organization
INDIANA FIRST MEDICAL GROUP INC
Active
Organization
INDIANA FIRST MEDICAL GROUP INC
Active
Other names
INDIANA FIRST MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEI HSIN CHAO M.D. (OWNER)
(323) 268-5598
Entity
Organization
Contact information
Practice address
4082 WHITTIER BLVD STE 103, LOS ANGELES, CA 90023-2559
(323) 268-5598
(323) 268-8892
Mailing address
PO BOX 63202, LOS ANGELES, CA 90063-0202
(323) 268-5598
(323) 268-8892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A048560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ81352Z
—
CA
Enumeration date
11/03/2006
Last updated
06/03/2021
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