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Organization

ADVANCED GENOMICS RESEARCH INC

Active
Other names
Anti-Fragility Health
Organization subpart
No

Provider details

NPI number
Authorized official
SUNG HYE YI PHD (CFO)
(714) 493-7258
Entity
Organization

Contact information

Practice address
1020 S ANAHEIM BLVD STE 300, ANAHEIM, CA 92805-5854
(714) 999-6688
(714) 908-1555
Mailing address
1020 S ANAHEIM BLVD STE 300, ANAHEIM, CA 92805-5854
(714) 999-6688
(714) 908-1555

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
207R00000X
Internal Medicine Physician
Primary
2084P0800X
Psychiatry Physician

Other

Enumeration date
11/10/2020
Last updated
11/10/2020
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