Organization
NU KHIN MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NU KHIN M.D. (OWNER)
(626) 281-7654
Entity
Organization
Contact information
Practice address
1212 E MAIN ST STE 1, ALHAMBRA, CA 91801-4162
(626) 281-7654
(626) 281-6083
Mailing address
1212 E MAIN ST STE 1, ALHAMBRA, CA 91801-4162
(626) 281-7654
(626) 281-6083
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A063817
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A638170
—
CA
01
—
10957419
CAQH
CA
01
—
110246819
RAILROAD MEDICARE INDIVID
CA
Enumeration date
09/08/2010
Last updated
09/08/2010
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