# GAP HEALTHCARE

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

## Provider details

- **NPI number:** 1548638315
- **Authorized official:** SUNG KIM (PRESIDENT)
- **Authorized official phone:** (213) 254-7103

## Contact information

- **Practice address:** 1151 N MAGNOLIA AVE, STE 109, ANAHEIM, CA 92801-2604
- **Practice address phone:** (213) 254-7103
- **Mailing address:** 1151 N MAGNOLIA AVE, STE 109, ANAHEIM, CA 92801-2604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 134844 | CA | Yes |

## Other

- **Enumeration date:** 09/09/2015
- **Last updated:** 09/11/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 134844 | NUMBER | — |