Provider Demographics
NPI:1770010910
Name:YOUHL ALTERNATIVE MEDICAL CORPORATION
Entity Type:Organization
Organization Name:YOUHL ALTERNATIVE MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.AC, DAOM / CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEUNG-HUN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DAOM
Authorized Official - Phone:213-434-1389
Mailing Address - Street 1:19144 INDEX ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-1619
Mailing Address - Country:US
Mailing Address - Phone:213-434-1389
Mailing Address - Fax:
Practice Address - Street 1:3434 W 6TH ST STE 400-3
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-2526
Practice Address - Country:US
Practice Address - Phone:213-434-1389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-18
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14307171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC14307OtherACUPUNCTURE LICENSE