A1caredental
Special Hospital in Carson, CA. Organization (NPI-2).
NPI number1376768648
StatusActive
Last updated in NPPESJun 13, 2008
Details
- NPI
- 1376768648
- Entity type
- Organization (NPI-2)
- Legal business name
- A1caredental
- Organization subpart
- No
- Enumeration date
- Apr 13, 2007
- Last updated
- Jun 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 284300000X | Special Hospital | 50371 | CA | Yes |
Practice location
602 W Sepulveda BlvdCarson, CA 90745-6319
Phone 310-830-3338 · Fax 310-830-3339
Mailing address
602 W Sepulveda BlvdCarson, CA 90745-6319
Phone 310-830-3338 · Fax 310-830-3339
Authorized official
Jung Hyeb Sim
Owner
3108303338
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