Organization
J. CHANBONPIN, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY CHANBONPIN M.D. (PRESIDENT)
(213) 382-7252
Entity
Organization
Contact information
Practice address
235 N HOOVER ST, LOS ANGELES, CA 90004-3627
(213) 382-7252
Mailing address
1654 S EL MOLINO AVE, SAN MARINO, CA 91108-1701
(323) 550-8285
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A39381
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A393811
—
CA
Enumeration date
11/08/2006
Last updated
06/24/2008
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