# INTERNATIONAL MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265685515
- **Authorized official:** MS. EUN HEE LEE (PRESIDENT)
- **Authorized official phone:** (703) 642-1004

## Contact information

- **Practice address:** 5410 PORT ROYAL RD, SUITE 100, SPRINGFIELD, VA 22151-2314
- **Practice address phone:** (703) 642-1004
- **Practice address fax:** (703) 642-3232
- **Mailing address:** 5410 PORT ROYAL RD, SUITE 100, SPRINGFIELD, VA 22151-2314
- **Mailing address phone:** (703) 642-1004
- **Mailing address fax:** (703) 642-3232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 101052584 | VA | Yes |

## Other

- **Enumeration date:** 10/30/2008
- **Last updated:** 10/30/2008