Organization
COMMUNITY HOSPITALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OON SOO UNG (CFO)
(512) 730-3060
Entity
Organization
Contact information
Practice address
3700 KOLBE RD, LORAIN, OH 44053-1611
(440) 960-4000
Mailing address
30575 BAINBRIDGE RD, CLEVELAND, OH 44139-2221
(440) 542-5000
(440) 542-5029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2173473
—
OH
Enumeration date
11/30/2006
Last updated
01/30/2026
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