Organization
APCN-ACO, A MEDICAL PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EN MING LAI MD (PRESIDENT/CEO)
(626) 319-3089
Entity
Organization
Contact information
Practice address
2360 HUNTINGTON DRIVE #201, C/O MSO, INC. OF SOUTHERN CALIFORNIA, SAN MARINO, CA 91108
(818) 399-8996
Mailing address
2360 HUNTINGTON DRIVE #201, C/O MSO, INC. OF SOUTHERN CALIFORNIA, SAN MARINO, CA 91108
(818) 399-8996
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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