Organization
EL MONTE CITY SHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LY KIM KOUCH (FAMILY NURSE PRACTITIONER)
(626) 453-3700
Entity
Organization
Contact information
Practice address
3540 LEXINGTON AVE, EL MONTE, CA 91731-2608
(626) 453-3700
Mailing address
3540 LEXINGTON AVE, EL MONTE, CA 91731-2608
(626) 453-3700
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
540660
CA
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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