Provider Demographics
NPI:1326359407
Name:YOU AUM, JUNGHEE ROSA (PHD)
Entity Type:Individual
Prefix:
First Name:JUNGHEE
Middle Name:ROSA
Last Name:YOU AUM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3921 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-3317
Mailing Address - Country:US
Mailing Address - Phone:213-210-8172
Mailing Address - Fax:213-382-9024
Practice Address - Street 1:3921 WILSHIRE BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-3317
Practice Address - Country:US
Practice Address - Phone:213-210-8172
Practice Address - Fax:213-382-9024
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8818171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist