Organization
SAMRA LABORATORY SERVICE, INC.
Active
Other names
UNIMED IMAGING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KESUNG KWAK D.C. (PRESIDENT)
(213) 384-1424
Entity
Organization
Contact information
Practice address
1730 W OLYMPIC BLVD, STE 101, LOS ANGELES, CA 90015-1019
(213) 384-1424
(213) 384-1101
Mailing address
1730 W OLYMPIC BLVD, STE 101, LOS ANGELES, CA 90015-1019
(213) 384-1424
(213) 384-1101
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
A85846
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC30810
CALIFORNIA CHIROPRACTIC BOARD
CA
Enumeration date
10/16/2009
Last updated
10/21/2009
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