Provider Demographics
NPI:1447845201
Name:OCCUPATIONAL MEDICINE INSTITUTE, DOWNTOWN LOS ANGELES-SOUTH INC.
Entity type:Organization
Organization Name:OCCUPATIONAL MEDICINE INSTITUTE, DOWNTOWN LOS ANGELES-SOUTH INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KAOCHOY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAECHAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-405-9292
Mailing Address - Street 1:716 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-2442
Mailing Address - Country:US
Mailing Address - Phone:310-405-9292
Mailing Address - Fax:
Practice Address - Street 1:716 W 1ST ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-2442
Practice Address - Country:US
Practice Address - Phone:310-405-9292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-03
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty