Organization
SUNKWA COMMUNITY FOUNDATION
Active
Other names
LifeLine community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DONWILLIAM YEBOAH CNA (OWNER/OPERATOR)
(323) 476-1316
Entity
Organization
Contact information
Practice address
11905 S CENTRAL AVE, SUITE 100, LOS ANGELES, CA 90059-2897
(323) 476-1316
(323) 476-1317
Mailing address
11905 S CENTRAL AVE, SUITE 100, LOS ANGELES, CA 90059-2897
(323) 476-1316
(323) 476-1317
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A82463
CA
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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