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Organization
EAST-WEST MEDICAL WELLNESS
Active
Organization
EAST-WEST MEDICAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHANH MINH LAM (CEO)
(714) 952-1080
Entity
Organization
Contact information
Practice address
7151 LINCOLN AVE STE K, BUENA PARK, CA 90620-4615
(714) 952-1080
(714) 952-1660
Mailing address
7151 LINCOLN AVE STE K, BUENA PARK, CA 90620-4615
(714) 952-1080
(714) 952-1660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A84750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356321384
—
CA
Enumeration date
07/10/2017
Last updated
07/10/2017
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