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Individual

HO JOON SHIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1385 S DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-2208
(909) 861-1015
Mailing address
22478 DENKER AVE, TORRANCE, CA 90501-4223
(909) 861-1015

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
LAC12230
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LAC12230
ACUPUNCTURE
CA
Enumeration date
05/16/2018
Last updated
05/16/2018
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