Provider Demographics
NPI:1558559898
Name:MYUNG, DUK YOUNG (LAC LICENSED ACUPUNC)
Entity Type:Individual
Prefix:MR
First Name:DUK
Middle Name:YOUNG
Last Name:MYUNG
Suffix:
Gender:M
Credentials:LAC LICENSED ACUPUNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11501 BROOKHURST ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840
Mailing Address - Country:US
Mailing Address - Phone:714-636-5480
Mailing Address - Fax:714-638-7959
Practice Address - Street 1:11501 BROOKHURST ST
Practice Address - Street 2:SUITE 100
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840
Practice Address - Country:US
Practice Address - Phone:714-636-5480
Practice Address - Fax:714-638-7959
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC135171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist