Organization
ID ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYOUNG WOOK MIN L.AC. (OWNER)
(510) 895-8912
Entity
Organization
Contact information
Practice address
13851 E 14TH ST STE 203, SAN LEANDRO, CA 94578-2627
(510) 895-8912
(510) 895-8930
Mailing address
13851 E 14TH ST STE 203, SAN LEANDRO, CA 94578-2627
(510) 895-8912
(510) 895-8930
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
AC16564
CA
Other
Enumeration date
01/15/2018
Last updated
03/17/2018
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