Individual
BO CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9618 GARDEN GROVE BLVD, SUITE 221, GARDEN GROVE, CA 92844-1563
(714) 539-6562
Mailing address
9618 GARDEN GROVE BLVD, SUITE 221, GARDEN GROVE, CA 92844-1563
(714) 539-6562
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 13674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC 13674
ACUPUNCTURE BOARD
CA
Enumeration date
10/17/2016
Last updated
10/17/2016
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