Individual
MR. KWON CHAE YI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PROSTHETIS
Contact information
Practice address
2550 BEVERLY BOULEVARD, SUITE 201, LOS ANGELES, CA 90057-1035
(213) 388-5847
(213) 388-5848
Mailing address
2550 BEVERLY BOULEVARD, SUITE 201, LOS ANGELES, CA 90057-1035
(213) 388-5847
(213) 388-5848
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XB0023570
—
CA
01
—
ZZZ655562
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
08/17/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us