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FIRST MEDICAL CENTER - YOON PAK MD NPI 1699049940


NPI Information

NPI: 1699049940
Provider Name: FIRST MEDICAL CENTER - YOON PAK, MD

Doing Business As: FIRST MEDICAL CENTER

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 05D0917377

Address:
11841 SOUTH ST
CERRITOS, CA
ZIP 90703
Phone: (562) 809-8082
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FIRST MEDICAL CENTER - YOON PAK, MD is a non pharmacy dispensing site in Cerritos, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) FIRST MEDICAL CENTER - YOON PAK, MD NPI is 1699049940. The provider is registered as an organization entity type.
The provider Is Doing Business As First Medical Center.

The provider's business location address is:

11841 SOUTH ST
CERRITOS, CA
ZIP 90703-825
Phone: (562) 809-8082

The provider's authorized official is Kenny Heine .
The authorized official title is Sr Director Ops and has the following contact phone number (858) 964-1506.

The CLIA number assigned to this NPI record is 05D0917377 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/5/2012 and was last updated on 10/25/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteA062072CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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