Individual
SANG KIL YI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
6752 BEACH BLVD, BUENA PARK, CA 90621-3466
(657) 500-9666
Mailing address
6752 BEACH BLVD, BUENA PARK, CA 90621-3466
(657) 500-9666
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
69902
CA
Other
Enumeration date
12/05/2021
Last updated
12/05/2021
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