Provider Demographics
NPI:1104203132
Name:YUN THERAPY USA ACUPUNCTURE & HERB CENTER, INC
Entity Type:Organization
Organization Name:YUN THERAPY USA ACUPUNCTURE & HERB CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUN
Authorized Official - Middle Name:
Authorized Official - Last Name:OH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-399-0001
Mailing Address - Street 1:3030 W OLYMPIC BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-6505
Mailing Address - Country:US
Mailing Address - Phone:213-399-0001
Mailing Address - Fax:213-232-0207
Practice Address - Street 1:3030 W OLYMPIC BLVD STE 202
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-6505
Practice Address - Country:US
Practice Address - Phone:213-399-0001
Practice Address - Fax:213-232-0207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 12259171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty