Provider Demographics
NPI:1457851735
Name:BODY DAO INC.
Entity Type:Organization
Organization Name:BODY DAO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAE MIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DAOM
Authorized Official - Phone:415-203-4848
Mailing Address - Street 1:44 GOUGH ST STE 308
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-5424
Mailing Address - Country:US
Mailing Address - Phone:415-203-4848
Mailing Address - Fax:415-829-3090
Practice Address - Street 1:44 GOUGH ST STE 308
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-5424
Practice Address - Country:US
Practice Address - Phone:415-203-4848
Practice Address - Fax:415-829-3090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15831171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty