Provider Demographics
NPI:1174273320
Name:HEALING ZONE
Entity Type:Organization
Organization Name:HEALING ZONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHINYOUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:213-434-9556
Mailing Address - Street 1:950 S HARVARD BLVD APT 504
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-6266
Mailing Address - Country:US
Mailing Address - Phone:213-434-9556
Mailing Address - Fax:
Practice Address - Street 1:7223 CHURCH ST STE A1
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:CA
Practice Address - Zip Code:92346-5811
Practice Address - Country:US
Practice Address - Phone:909-863-7597
Practice Address - Fax:909-672-7019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-28
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty