Organization
SUNGIL MANUAL MEDICINE AND ACUPUNCTURE INC
Active
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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