Gf Nova Medical Center LLC
Internal Medicine in Fairfax, VA. Organization (NPI-2).
NPI number1194624809
StatusActive
Last updated in NPPESNov 2, 2026
Details
- NPI
- 1194624809
- Entity type
- Organization (NPI-2)
- Legal business name
- Gf Nova Medical Center LLC
- Organization subpart
- No
- Enumeration date
- Nov 2, 2026
- Certification date
- Oct 29, 2026
- Last updated
- Nov 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 163W00000X | Registered Nurse | – | – | |
| 171100000X | Acupuncturist | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
11240 Waples Mill Rd Ste 300Fairfax, VA 22030-6078
Phone 571-530-9877 · Fax 703-762-9978
Mailing address
11240 Waples Mill Rd Ste 300Fairfax, VA 22030-6078
Phone 571-530-9877 · Fax 703-762-9978
Authorized official
Sun Hee Lee
Owner
5715309877
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