Individual
HYO PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AC
Contact information
Practice address
20110 PIONEER BLVD STE E, CERRITOS, CA 90703-7402
(562) 860-8300
(562) 860-8311
Mailing address
1235 W TOWN AND COUNTRY RD APT 3307, ORANGE, CA 92868-4672
(562) 860-8300
(562) 860-8311
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC12673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC12673
LICENSE
CA
Enumeration date
09/26/2008
Last updated
09/26/2008
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