Organization
SUNGIL MANUAL MEDICINE AND ACUPUNCTURE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAN KOOK PARK L.AC (C.E.O.)
(213) 291-5626
Entity
Organization
Contact information
Practice address
20391 BAYVIEW AVE, NEWPORT BEACH, CA 92660-0709
(213) 291-5626
Mailing address
12640 BLOOMFIELD AVE APT 91, NORWALK, CA 90650-1402
(213) 291-5626
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AC 11461
CA
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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