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Organization

HP ANESTHESIA MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUNG TE KIM M.D. (PRESIDENT)
(714) 347-1010
Entity
Organization

Contact information

Practice address
1300 N VERMONT AVE, LOS ANGELES, CA 90027-6005
(213) 413-3000
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0104180
CA
Enumeration date
06/13/2006
Last updated
01/22/2011
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