Organization
COMMUNITY INTENSIVISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OON SOO UNG (CFO)
(813) 442-1860
Entity
Organization
Contact information
Practice address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-8000
Mailing address
30575 BAINBRIDGE RD STE 200, CLEVELAND, OH 44139-2275
(440) 542-5000
(440) 542-5005
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102407
—
OH
Enumeration date
09/24/2013
Last updated
04/20/2026
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