Provider Demographics
NPI:1770144586
Name:ADVANCED FAMILYCARE MEDICINE
Entity type:Organization
Organization Name:ADVANCED FAMILYCARE MEDICINE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNGHEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:253-314-5742
Mailing Address - Street 1:9104 S TACOMA WAY STE 106F
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-4407
Mailing Address - Country:US
Mailing Address - Phone:253-314-5742
Mailing Address - Fax:253-314-5718
Practice Address - Street 1:9104 S TACOMA WAY STE 106F
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-4407
Practice Address - Country:US
Practice Address - Phone:253-380-2325
Practice Address - Fax:253-314-5718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-24
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty