Organization
BAYPOINTE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMMY PARK (PRESIDENT)
(213) 444-9990
Entity
Organization
Contact information
Practice address
1010 WILSHIRE BLVD APT 112, LOS ANGELES, CA 90017-5663
(213) 444-9990
Mailing address
1010 WILSHIRE BLVD APT 112, LOS ANGELES, CA 90017-5663
(213) 444-9990
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
CA
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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