Organization
ACUCENTER OF LA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONGKYUN SUH D.C., L.AC. (CEO)
(323) 936-2828
Entity
Organization
Contact information
Practice address
4465 WILSHIRE BLVD STE 303, LOS ANGELES, CA 90010-3716
(323) 936-4000
(323) 936-4001
Mailing address
4465 WILSHIRE BLVD STE 303, LOS ANGELES, CA 90010-3716
(323) 936-4000
(323) 936-4001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC32983
CA
171100000X
Acupuncturist
AC8688
CA
171100000X
Acupuncturist
AC9809
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AC8688
—
CA
05
—
AC9809
—
CA
05
—
DC32983
—
CA
Enumeration date
06/20/2014
Last updated
02/17/2015
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