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Individual

MR. SUK SANG SAMUEL UM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACUPUNCTURE

Contact information

Practice address
1435 W BEVERLY BLVD, MONTEBELLO, CA 90640-4154
(323) 887-7575
(323) 887-7503
Mailing address
1435 W BEVERLY BLVD, MONTEBELLO, CA 90640-4154
(323) 887-7575
(323) 887-7503

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AC10295
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AC0102950
ACUPUNCTURIST
CA
Enumeration date
04/13/2007
Last updated
11/28/2011
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