Provider Demographics
NPI:1790925832
Name:CONTEMPORARY ALTERNATIVE MEDICINE INC.
Entity Type:Organization
Organization Name:CONTEMPORARY ALTERNATIVE MEDICINE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HYE SUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:YUN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DIPOM, RN
Authorized Official - Phone:310-871-4888
Mailing Address - Street 1:8610 WEST 3RD STREET
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048
Mailing Address - Country:US
Mailing Address - Phone:310-871-4888
Mailing Address - Fax:310-815-9084
Practice Address - Street 1:8610 WEST 3RD STREED
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048
Practice Address - Country:US
Practice Address - Phone:310-734-7539
Practice Address - Fax:310-734-7540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA673449163W00000X
CAAC12632261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty