Provider Demographics
NPI:1841756475
Name:SEUNGTAE ACU & HERBS
Entity Type:Organization
Organization Name:SEUNGTAE ACU & HERBS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEUNGTAE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:714-987-2375
Mailing Address - Street 1:23332 HAWTHORNE BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3766
Mailing Address - Country:US
Mailing Address - Phone:714-987-2375
Mailing Address - Fax:714-367-6898
Practice Address - Street 1:23332 HAWTHORNE BLVD STE 205
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3766
Practice Address - Country:US
Practice Address - Phone:714-987-2375
Practice Address - Fax:714-367-6898
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:I AM ALLIANCES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty