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EDMONDS MEDICAL CLINIC INC

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Company Details

Legal Name: EDMONDS MEDICAL CLINIC INC
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 7th 2019
Expiration date: 31 Oct 2025
UBI Number: 604 525 919
ZIP code: 98026
City: Edmonds
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 21600 HIGHWAY 99, STE 280, EDMONDS, WA, 98026-8022, UNITED STATES

Contact Details

E-Mail: INFO@SKJCPA.COM
Phone Number: +1 360-901-6355

Nature of Business

Health Care, Social Assistance & Service Organization, PRIMARY CARE MEDICAL CLINIC

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Registered Agent Information

Name Role Address
STEVEN KOH Registered Agent 21600 HIGHWAY 99 STE 280, EDMONDS, WA, 98026-8022, UNITED STATES

Key Officers & Management

Name Role Address
STEVEN KOH Governing Person 22740 HIGHWAY 99 STE B, EDMONDS, WA, 98026-8396, UNITED STATES
YOON PARK Governing Person -
STEVEN KOH Incorporator 22320 44TH DR SE, BOTHELL, WA, 98021-5040, UNITED STATES

National Provider Identifier

NPI Number:
1376174979
Certification Date:
2020-08-01

Authorized Person:

Name:
STEVEN KOH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4257400078

History

Type Old value New value Date of change
Name change EDMONDS PRIMARY CARE PLUS INC EDMONDS MEDICAL CLINIC INC 2019-10-14
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