Irradiance Medical Group Inc

LBN: Irradiance Medical Group Inc
Irradiance Medical Group Inc is an health care organization with primary practice located at 420 E 3Rd St Ste 805 , Los Angeles CA 90013-1646. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. Irradiance Medical Group Inc can be contacted via phone (213) 687-3214, or through Ho, Christopher Tsung Lung via phone (213) 687-3214.

Contact Information

Primary practice address
420 E 3Rd St Ste 805 Los Angeles CA 90013-1646
Fax: (213) 687-0622
Website:
Authorized official contact:
Name: Ho, Christopher Tsung Lung Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G77152 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X A55242 California

Profile Details

NPI number 1740213198
LBN Legal business name Irradiance Medical Group Inc
DBA Doing business as
Authorized official Ho, Christopher Tsung Lung Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Sep 1st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740213198 NPPES
California MEDICAID 00G771521

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