Provider Demographics
NPI:1104856418
Name:OH, JANE KYUNG (LISENCED ACUP)
Entity Type:Individual
Prefix:PROF
First Name:JANE
Middle Name:KYUNG
Last Name:OH
Suffix:
Gender:F
Credentials:LISENCED ACUP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:303 S GLENOAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1326
Mailing Address - Country:US
Mailing Address - Phone:818-953-9042
Mailing Address - Fax:818-953-9054
Practice Address - Street 1:303 S GLENOAKS BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1319
Practice Address - Country:US
Practice Address - Phone:818-953-9042
Practice Address - Fax:818-953-9054
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 9676171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist