Individual
MAO HUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2390 PACIFIC AVE, LONG BEACH, CA 90806-3051
(562) 988-1863
(562) 988-1475
Mailing address
2390 PACIFIC AVE, LONG BEACH, CA 90806-3051
(562) 988-1863
(562) 988-1475
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190358AN
CA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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