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Organization
LINCOLN HEIGHTS FAMILY AND INDUSTRIAL MEDICAL CLINIC
Active
Organization
LINCOLN HEIGHTS FAMILY AND INDUSTRIAL MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY HONG VO (OFFICE MANAGER)
(323) 225-8038
Entity
Organization
Contact information
Practice address
2409 N BROADWAY, LOS ANGELES, CA 90031-2218
(323) 225-8038
(323) 225-2106
Mailing address
2409 N BROADWAY, LOS ANGELES, CA 90031-2218
(323) 225-8038
(323) 225-2106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A53847
CA
207VX0000X
Obstetrics Physician
A35695
CA
208000000X
Pediatrics Physician
A53847
CA
208D00000X
General Practice Physician
A33894
CA
363A00000X
Physician Assistant
Primary
PA 13853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0056500
—
CA
Enumeration date
09/21/2006
Last updated
09/11/2025
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