Provider Demographics
NPI:1205392180
Name:Q BIO ACUPUNCTURE CLINIC INC.
Entity Type:Organization
Organization Name:Q BIO ACUPUNCTURE CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUNKYEOM
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:213-386-2345
Mailing Address - Street 1:680 WILSHIRE PL STE 312
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-3950
Mailing Address - Country:US
Mailing Address - Phone:213-386-2345
Mailing Address - Fax:213-386-2347
Practice Address - Street 1:680 WILSHIRE PL STE 312
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90005-3950
Practice Address - Country:US
Practice Address - Phone:213-386-2345
Practice Address - Fax:213-386-2347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty