Organization
IRRADIANCE MEDICAL GROUP INC
Active
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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