Provider Demographics
NPI:1629584479
Name:AUMT INSTITUTE
Entity Type:Organization
Organization Name:AUMT INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JINHO
Authorized Official - Middle Name:
Authorized Official - Last Name:SONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-532-5133
Mailing Address - Street 1:20300 S VERMONT AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-1348
Mailing Address - Country:US
Mailing Address - Phone:310-532-5133
Mailing Address - Fax:310-532-5062
Practice Address - Street 1:20300 S VERMONT AVE STE 105
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-1348
Practice Address - Country:US
Practice Address - Phone:310-532-5133
Practice Address - Fax:310-532-5062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-15
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA05D2106320291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory