Provider Demographics
NPI:1699000356
Name:KOHYUN CORPORATION
Entity Type:Organization
Organization Name:KOHYUN CORPORATION
Other - Org Name:GREEN TREE ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:310-707-1298
Mailing Address - Street 1:716 YARMOUTH RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PALOS VERDES ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-2675
Mailing Address - Country:US
Mailing Address - Phone:310-707-1298
Mailing Address - Fax:310-868-2872
Practice Address - Street 1:716 YARMOUTH RD
Practice Address - Street 2:SUITE 104
Practice Address - City:PALOS VERDES ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-2675
Practice Address - Country:US
Practice Address - Phone:310-707-1298
Practice Address - Fax:310-868-2872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13101171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty