Basic Information
| Provider Information | |||||||||
| NPI: | 1235391087 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SEOUL MARKETING PURBLIC RELATION INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12933 DROXFORD ST | ||||||||
| Address2: | |||||||||
| City: | CERRITOS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 907036067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3102668921 | ||||||||
| FaxNumber: | 3107759762 | ||||||||
| Practice Location | |||||||||
| Address1: | 9201 W SUNSET BLVD | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900693701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3108871730 | ||||||||
| FaxNumber: | 3108871734 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2008 | ||||||||
| LastUpdateDate: | 07/01/2008 | ||||||||
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| AuthorizedOfficialLastName: | KIM | ||||||||
| AuthorizedOfficialFirstName: | SUE | ||||||||
| AuthorizedOfficialMiddleName: | SOOKJA | ||||||||
| AuthorizedOfficialTitleorPosition: | RNFA | ||||||||
| AuthorizedOfficialTelephone: | 3102668921 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | SEOUL MARKETING PURBLIC RELATION INC. | ||||||||
| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | RNFA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | RN493968 | CA | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
No ID Information.