Provider Demographics
NPI:1831323567
Name:HEO, YEONG HOE (LAC)
Entity Type:Individual
Prefix:MRS
First Name:YEONG HOE
Middle Name:
Last Name:HEO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14764 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-4250
Mailing Address - Country:US
Mailing Address - Phone:714-523-8000
Mailing Address - Fax:714-523-8000
Practice Address - Street 1:14764 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-4250
Practice Address - Country:US
Practice Address - Phone:714-523-8000
Practice Address - Fax:714-523-8000
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-09
Last Update Date:2009-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10697171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist