Organization
C &K MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE SUNG CHU M.D. (PRESIDENT)
(323) 757-1853
Entity
Organization
Contact information
Practice address
12610 S WESTERN AVE, LOS ANGELES, CA 90047-5252
(323) 757-1853
(323) 757-1281
Mailing address
12610 S WESTERN AVE, LOS ANGELES, CA 90047-5252
(323) 757-1853
(323) 757-1281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A46356
CA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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