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Mr. Kwon Chae Yi, CERTIFIEDPROSTHETIS
Durable Medical Equipment & Medical Supplies in Los Angeles, California
NPI 1902910235

Kwon Chae Yi is a Durable Medical Equipment & Medical Supplies based in Los Angeles, CA. Kwon Chae Yi practices in Los Angeles, CA and has the professional credentials of CERTIFIEDPROSTHETIS. The NPI Number for Kwon Chae Yi is 1902910235 and holds a License No. (California).

The current practice location address for Kwon Chae Yi is 2550 Beverly Boulevard, Los Angeles, CA and can be reached out via phone at 213-388-5847 and via fax at 213-388-5848.

Location: 2550 Beverly Boulevard, Los Angeles, CA, 90057-1035
person
Provider Profile Details
NPI Number
1902910235
Provider Name
Kwon Chae Yi
Credential
CERTIFIEDPROSTHETIS
Provider Entity Type
Individual
Gender
Male
Address
2550 Beverly Boulevard, Los Angeles, CA, 90057-1035
Phone Number
213-388-5847
Fax Number
213-388-5848
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ655562 01 CA BLUE SHIELD OF CALIFORNIA
XB0023570 05 CA
institution
Provider Business Practice Location Address Details
Address
2550 Beverly Boulevard
City
State
Zip
90057-1035
Phone Number
213-388-5847
Fax Number
213-388-5848
person
Provider Business Mailing Address Details
Address
2550 Beverly Boulevard
City
State
Zip
90057-1035
Phone Number
213-388-5847
Fax Number
213-388-5848
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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