Individual
MR. CHANGTAE OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
20909 NORWALK BLVD APT 35, LAKEWOOD, CA 90715-1559
(657) 222-5208
Mailing address
20909 NORWALK BLVD APT 35, LAKEWOOD, CA 90715-1559
(657) 222-5208
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC17232
CA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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