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Organization
WHITECOAT MEDICAL GROUP, INC
Active
Organization
WHITECOAT MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE KWON (CEO)
(917) 577-3134
Entity
Organization
Contact information
Practice address
130 W UNION ST, PASADENA, CA 91103-3628
(917) 577-3134
Mailing address
130 W UNION ST, PASADENA, CA 91103-3628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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