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Organization
SCULPT DTLA
Active
Organization
SCULPT DTLA
Active
Parent organization
BENNY HAU MD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENNY HAU MD INC
Authorized official
DR. BENNY HAU MD (CEO)
(951) 202-4100
Entity
Organization
Contact information
Practice address
705 S OLIVE ST STE A, LOS ANGELES, CA 90014-2642
(951) 202-4100
Mailing address
705 S OLIVE ST STE A, LOS ANGELES, CA 90014-2642
(951) 202-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G74902
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F77911
UPIN
CA
01
—
G74902
MEDICAL LICENSE
CA
Enumeration date
05/30/2017
Last updated
07/21/2022
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