Organization
TIM K CHA MD NEUROLOGY MEDICAL CORPORATION
Active
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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