Organization
KYUNG SAN ACUPUNCTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAEGYOO RYOO (OWNER/ACUPUNCTURIST)
(213) 380-0853
Entity
Organization
Contact information
Practice address
3030 W OLYMPIC BLVD, SUITE 202-203, LOS ANGELES, CA 90006-6501
(213) 380-0853
(213) 380-0954
Mailing address
3030 W OLYMPIC BLVD, SUITE 202-203, LOS ANGELES, CA 90006-6501
(213) 380-0853
(213) 380-0954
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AC 9854
CA
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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