Provider Demographics
NPI:1467796599
Name:META HEALING CENTER
Entity Type:Organization
Organization Name:META HEALING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYU
Authorized Official - Middle Name:S
Authorized Official - Last Name:SUH
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:310-854-0299
Mailing Address - Street 1:4132 BLACKFIN AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-3206
Mailing Address - Country:US
Mailing Address - Phone:310-854-0299
Mailing Address - Fax:310-854-0344
Practice Address - Street 1:8600 W SUNSET BLVD
Practice Address - Street 2:#A
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-2302
Practice Address - Country:US
Practice Address - Phone:310-854-0299
Practice Address - Fax:310-854-0344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10227171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty