Taeho Im Md Inc

LBN: Taeho Im Md Inc
Taeho Im Md Inc is an health care organization with primary practice located at 1700 Coffee Road , Modesto CA 95355. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Taeho Im Md Inc can be contacted via phone (209) 526-4500, or through Im, Taeho via phone (209) 480-3450.

Contact Information

Primary practice address
1700 Coffee Road Modesto CA 95355
Phone: (209) 526-4500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Im, Taeho MD INC
Phone: (209) 480-3450

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G66753 California

Profile Details

NPI number 1053486498
LBN Legal business name Taeho Im Md Inc
DBA Doing business as
Authorized official Im, Taeho MD INC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Mar 25th, 2024 - about 9 months 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 1053486498 NPPES
California MEDICAID 00G667530

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