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Individual

ICK YOUL EOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
417 3/4 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3013
(323) 963-5027
(323) 499-1274
Mailing address
417 3/4 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3013
(323) 963-5027
(323) 499-1274

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC16283
CA

Other

Enumeration date
07/30/2015
Last updated
01/09/2019
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