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Organization
SO CAL INTEGRATED MEDICAL GROUP
Active
Organization
SO CAL INTEGRATED MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEUNG WAN HONG LAC (CEO)
(213) 245-8480
Entity
Organization
Contact information
Practice address
133 N PRAIRIE AVE, INGLEWOOD, CA 90301-4878
(213) 245-8480
Mailing address
901 S FLOWER ST UNIT 613, LOS ANGELES, CA 90015-2298
(213) 245-8480
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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