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Organization

TIM K CHA MD NEUROLOGY MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIM K CHA MD (CEO)
(310) 372-2821
Entity
Organization

Contact information

Practice address
3440 LOMITA BLVD, SUITE #138, TORRANCE, CA 90505-4801
(310) 372-2821
(310) 372-9358
Mailing address
3440 LOMITA BLVD, SUITE #138, TORRANCE, CA 90505-4801
(310) 372-2821
(310) 372-9358

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A52197
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1538267901
NPI
CA
01
A52197
CA LICENSE NUMBER
CA
Enumeration date
03/26/2007
Last updated
02/17/2015
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