Organization
BODHI ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUN SANG KIM PHD (OWNER)
(805) 241-7775
Entity
Organization
Contact information
Practice address
1772 AVENIDA DE LOS ARBOLES, SUITE#C, THOUSAND OAKS, CA 91362
(805) 241-7775
(805) 241-7785
Mailing address
1772 AVENIDA E LOS ARBOLES, SUITE#C, THOUSAND OAKS, CA 91362
(805) 241-7775
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
AC9341
CA
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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