Provider Demographics
NPI:1275964744
Name:YOHAN'S CLINIC
Entity Type:Organization
Organization Name:YOHAN'S CLINIC
Other - Org Name:BUENASALUD ACUPUNCTURE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YOHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-272-5819
Mailing Address - Street 1:222 N MOUNTAIN AVE STE 102A
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-5733
Mailing Address - Country:US
Mailing Address - Phone:909-272-5819
Mailing Address - Fax:909-639-6822
Practice Address - Street 1:222 N MOUNTAIN AVE STE 102A
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-5733
Practice Address - Country:US
Practice Address - Phone:909-270-5819
Practice Address - Fax:909-639-6822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13876171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty