Organization
EASTAO CORP.
Active
Other names
Holistic Healing Source
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAHNG JAE YOO L.AC. (MANAGER)
(909) 989-7000
Entity
Organization
Contact information
Practice address
9602 BASELINE RD, ALTA LOMA, CA 91701-5035
(909) 989-7000
(909) 989-7000
Mailing address
9602 BASELINE RD, ALTA LOMA, CA 91701-5035
(909) 989-7000
(909) 989-7000
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
10000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC10000
ACUPUNCTURIST
CA
Enumeration date
01/21/2008
Last updated
07/23/2010
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