Individual
MR. BYUNGSUK ALEX KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
350 S FULLER AVE, #11A, LOS ANGELES, CA 90036-5552
(213) 344-7546
Mailing address
350 S FULLER AVE, #11A, LOS ANGELES, CA 90036-5552
(213) 344-7546
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
12585
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12585
CALIFORNIA ACUPUNCTURE BOARD
CA
Enumeration date
09/09/2008
Last updated
09/09/2008
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