Provider Demographics
NPI:1114528742
Name:TAO OF MEDICINE INC.
Entity Type:Organization
Organization Name:TAO OF MEDICINE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HOON
Authorized Official - Middle Name:CHEOL
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:310-401-3347
Mailing Address - Street 1:2901 WILSHIRE BLVD STE 335
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-4930
Mailing Address - Country:US
Mailing Address - Phone:310-401-3347
Mailing Address - Fax:
Practice Address - Street 1:2901 WILSHIRE BLVD STE 335
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-4930
Practice Address - Country:US
Practice Address - Phone:310-401-3347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty