Provider Demographics
NPI:1811239015
Name:SUNHAK ORIENTAL MEDICINE AND ACUPUNCTURE
Entity Type:Organization
Organization Name:SUNHAK ORIENTAL MEDICINE AND ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IK CHEOL
Authorized Official - Middle Name:
Authorized Official - Last Name:SIN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:213-503-0856
Mailing Address - Street 1:3030 W OLYMPIC BLVD
Mailing Address - Street 2:SUITE #204
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-6501
Mailing Address - Country:US
Mailing Address - Phone:213-503-0856
Mailing Address - Fax:
Practice Address - Street 1:3030 W OLYMPIC BLVD
Practice Address - Street 2:SUITE #204
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-6501
Practice Address - Country:US
Practice Address - Phone:213-503-0856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14331171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty