Provider Demographics
NPI:1760842959
Name:NEW HOPE MEDICAL MANAGEMENT INC
Entity Type:Organization
Organization Name:NEW HOPE MEDICAL MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OT
Authorized Official - Prefix:
Authorized Official - First Name:KYUNG-RAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-860-7575
Mailing Address - Street 1:7002 MOODY ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1180
Mailing Address - Country:US
Mailing Address - Phone:562-860-7575
Mailing Address - Fax:562-865-7575
Practice Address - Street 1:7002 MOODY ST
Practice Address - Street 2:SUITE 209
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1180
Practice Address - Country:US
Practice Address - Phone:562-860-7575
Practice Address - Fax:562-865-7575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT10347225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty