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Organization
SAMRA HAMSOA, INC.
Active
Organization
SAMRA HAMSOA, INC.
Active
Other names
SAMRA ACUPUNCTURE SPINAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JAE HONG KIM (OFFICER)
(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
AC12392
CA
171100000X
Acupuncturist
AC12839
CA
171100000X
Acupuncturist
AC13005
CA
171100000X
Acupuncturist
AC4948
CA
171100000X
Acupuncturist
Primary
AC9503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC12392
CALIFORNIA ACUPUNCTURE BOARD
—
01
—
AC12839
CALIFORNIA ACUPUNCTURE BOARD
—
01
—
AC13005
CALIFORNIA ACUPUNCTURE BOARD
—
01
—
AC4948
CALIFORNIA ACUPUNCTURE BOARD
—
01
—
AC9503
CALIFORNIA ACUPUNCTURE BOARD
—
Enumeration date
03/08/2009
Last updated
03/08/2009
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