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Organization
SONG'S ACUPUNTURE
Active
Organization
SONG'S ACUPUNTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWANG TAE KIM (OWNER)
(213) 386-4517
Entity
Organization
Contact information
Practice address
2120 W 8TH ST STE 210, LOS ANGELES, CA 90057-4081
(213) 386-4517
Mailing address
2120 W 8TH ST STE 210, LOS ANGELES, CA 90057-4081
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 11862
CA
Other
Enumeration date
06/13/2014
Last updated
07/31/2015
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