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Organization
SAMRA ACUPUNCTURE SPINAL CENTER, INC.
Active
Organization
SAMRA ACUPUNCTURE SPINAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HYUG YONG CHOI L.AC (PRESIDENT)
(213) 384-1100
Entity
Organization
Contact information
Practice address
1730 W OLYMPIC BLVD, SUITE 100, LOS ANGELES, CA 90015-1019
(213) 384-1100
(213) 384-1101
Mailing address
1730 W OLYMPIC BLVD, SUITE 100, LOS ANGELES, CA 90015-1019
(213) 384-1100
(213) 384-1101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC30810
CA
171100000X
Acupuncturist
Primary
AC10230
CA
171100000X
Acupuncturist
AC12392
CA
171100000X
Acupuncturist
AC12839
CA
171100000X
Acupuncturist
AC9503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC10230
CA ACUPUNCTURE LICENSE
CA
01
—
AC12392
CA ACUPUNCTURE LICENSE
CA
01
—
AC12839
CA ACUPUNCTURE LICENSE
CA
01
—
AC9503
CA ACUPUNCTURE LICENSE
CA
01
—
DC30810
CA CHIROPRACTIC LICENSE
CA
Enumeration date
10/28/2009
Last updated
10/28/2009
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