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Organization
POWER HEALING MEDICAL CENTER, INC.
Active
Organization
POWER HEALING MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOONG GAP KIM MD (PRESIDENT)
(310) 965-0500
Entity
Organization
Contact information
Practice address
1251 W REDONDO BEACH BLVD FL 3, GARDENA, CA 90247-3464
(310) 965-0500
(310) 965-0055
Mailing address
1251 W REDONDO BEACH BLVD FL 3, GARDENA, CA 90247-3464
(310) 965-0500
(310) 965-0055
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A39214
CA
225100000X
Physical Therapist
Primary
CA18720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861527897
—
CA
Enumeration date
07/23/2017
Last updated
03/17/2018
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