Organization · NPI-2

Acucenter Of La, INC

Chiropractor · Los Angeles, CA

NPI number1295140929
StatusActive
Last updated in NPPESFeb 17, 2015

Details

NPI
1295140929
Entity type
Organization (NPI-2)
Legal business name
Acucenter Of La, INC
Organization subpart
No
Enumeration date
Jun 20, 2014
Last updated
Feb 17, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorDC32983CAYes
171100000X AcupuncturistAC8688CA
171100000X AcupuncturistAC9809CA

Practice location

4465 Wilshire Blvd Ste 303
Los Angeles, CA 90010-3716

Phone 323-936-4000 · Fax 323-936-4001

Mailing address

4465 Wilshire Blvd Ste 303
Los Angeles, CA 90010-3716

Phone 323-936-4000 · Fax 323-936-4001

Authorized official

Bongkyun Suh
Ceo
3239362828

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