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Organization
SUK MEDICAL CLINIC INC
Active
Organization
SUK MEDICAL CLINIC INC
Active
Parent organization
SUK MEDICAL CLINIC INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUK MEDICAL CLINIC INC
Authorized official
DR. LARRY TARYOUNG SUK MD (PHYSICIAN)
(310) 515-9871
Entity
Organization
Contact information
Practice address
15435 S WESTERN AVE STE 201, GARDENA, CA 90249-4324
(310) 515-9874
Mailing address
15435 S WESTERN AVE STE 201, GARDENA, CA 90249-4324
(310) 515-9874
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A52233
CA
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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