Provider Demographics
NPI:1619195583
Name:KANG, HYON BIN (LAC)
Entity Type:Individual
Prefix:MR
First Name:HYON
Middle Name:BIN
Last Name:KANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8501 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3150
Mailing Address - Country:US
Mailing Address - Phone:310-854-0059
Mailing Address - Fax:310-854-0069
Practice Address - Street 1:8501 WILSHIRE BLVD STE 240
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3135
Practice Address - Country:US
Practice Address - Phone:310-854-0059
Practice Address - Fax:310-854-0069
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 10689171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist