Organization
KO'S WELLNESS INC.
Active
Other names
Ko's Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
SYNGWAN KO L.AC. (PRESIDENT)
(310) 832-1424
Entity
Organization
Contact information
Practice address
1931 N GAFFEY ST, SUITE C, SAN PEDRO, CA 90731-1265
(310) 832-1424
(310) 832-1424
Mailing address
1931 N GAFFEY ST, SUITE C, SAN PEDRO, CA 90731-1265
(310) 832-1424
(310) 832-1424
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
6239
CA
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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