Organization
PATIMA LIFE MEDICAL GROUP,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CHUNG (CFO)
(213) 736-0450
Entity
Organization
Contact information
Practice address
505 SHATTO PL, 200, LOS ANGELES, CA 90020-1754
(213) 736-0450
Mailing address
505 SHATTO PL, 200, LOS ANGELES, CA 90020-1754
(213) 736-0450
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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