Organization Name: | ACCUMED CORPORATION |
NPI Number: | 1174649719 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BONG JA BENA WON (VICE PRESIDENT) |
Mailing Address: | 11239 Ventura Blvd Ste 214 Studio City |
State: | CA US |
Postal Code: | 916043167 |
Phone Number: | 8185086888 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | FNP32805 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |