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
Phone: (213) 687-3214
Fax: (213) 687-0622
Website:
Authorized official contact:
Name: Ho, Christopher Tsung Lung Doctor of Medicine (MD)
Phone: (213) 687-3214
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740213198 | NPPES |
| California | MEDICAID | 00G771521 |
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