Provider Demographics
NPI:1346850757
Name:RYON ACUPUNCTURE CORPORATION
Entity Type:Organization
Organization Name:RYON ACUPUNCTURE CORPORATION
Other - Org Name:RYON ACU CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RYON
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:714-743-6570
Mailing Address - Street 1:6428 SCHUBERT CIR
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-3126
Mailing Address - Country:US
Mailing Address - Phone:714-743-6570
Mailing Address - Fax:
Practice Address - Street 1:151 YORBA ST STE 100
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-2960
Practice Address - Country:US
Practice Address - Phone:714-743-6570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-01
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty