Organization
FIRST MEDICAL CENTER - YOON PAK, MD
Active
Parent organization
MEDVANTX, INC.
Other names
FIRST MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (SR DIRECTOR OPS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
11841 SOUTH ST, CERRITOS, CA 90703-6825
(562) 809-8082
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A062072
CA
Other
Enumeration date
03/05/2012
Last updated
10/25/2012
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