Organization
IN SUNG SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BON JA SHIN (PRESIDENT)
(213) 283-6166
Entity
Organization
Contact information
Practice address
1134 S WESTERN AVE, B2, LOS ANGELES, CA 90006-2366
(213) 283-6166
Mailing address
1134 S WESTERN AVE, B2, LOS ANGELES, CA 90006-2366
(213) 283-6166
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
AC 11329
CA
261QH0100X
Health Service Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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