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Organization
WHITE MEMORIAL MEDICAL GROUP, INC.
Active
Organization
WHITE MEMORIAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN C.K. LAU M.D. (PRESIDENT)
(323) 987-1362
Entity
Organization
Contact information
Practice address
1701 E CESAR E CHAVEZ AVE, SUITE #100, LOS ANGELES, CA 90033-2464
(323) 987-1362
(323) 987-1366
Mailing address
PO BOX 51741, LOS ANGELES, CA 90051-6041
(323) 987-1362
(323) 987-1366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A42146
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0015740
—
CA
05
—
GRE001650
—
CA
Enumeration date
10/04/2006
Last updated
08/10/2017
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