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Individual

MR. CHOONG IL JANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC

Contact information

Practice address
4789 VINELAND AVE, N HOLLYWOOD, CA 91602-3518
(818) 761-1661
(818) 761-0482
Mailing address
4789 VINELAND AVE, NORTH HOLLYWOOD, CA 91602-3518
(818) 761-1661
(818) 761-0482

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
13556
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13556
CALIFORNIA STATE LICENSE
CA
Enumeration date
06/04/2010
Last updated
06/04/2010
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