Individual
MR. BAKYOUNG SOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5256 VISTA REAL, CYPRESS, CA 90630-3056
(213) 503-6208
Mailing address
5256 VISTA REAL, CYPRESS, CA 90630-3056
(213) 503-6208
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC16556
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC16556
CALIDORNIA ACUPUNCTURE BOARD
CA
Enumeration date
03/14/2018
Last updated
03/14/2018
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