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Organization

IRRADIANCE MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER TSUNG LUNG HO M.D. (OWNER)
(213) 687-3214
Entity
Organization

Contact information

Practice address
420 E 3RD ST STE 805, LOS ANGELES, CA 90013-1646
(213) 687-3214
(213) 687-0622
Mailing address
420 E 3RD ST STE 805, LOS ANGELES, CA 90013-1646
(213) 687-3214
(213) 687-0622

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
A55242
CA
207NS0135X
Procedural Dermatology Physician
Primary
G77152
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G771521
CA
Enumeration date
07/09/2006
Last updated
09/01/2016
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