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Organization

CAMBODIAN ASSOCIATION OF AMERICA

Active
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Organization

CAMBODIAN ASSOCIATION OF AMERICA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KIMTHAI KUOCH (EXECUTIVE DIRECTOR)
(562) 988-1863
Entity
Organization

Contact information

Practice address
2501 ATLANTIC AVE, LONG BEACH, CA 90806-2708
(562) 424-6105
(562) 427-1678
Mailing address
2390 PACIFIC AVE, LONG BEACH, CA 90806-3051
(562) 988-1863
(562) 988-1475

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190358AN
CA

Other

Enumeration date
02/21/2013
Last updated
02/21/2013
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