Provider Demographics
NPI:1912383472
Name:HONG'S ACUPUNCTURE, CHIROPRACTIC & HEALING CENTER
Entity Type:Organization
Organization Name:HONG'S ACUPUNCTURE, CHIROPRACTIC & HEALING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEONG
Authorized Official - Middle Name:HO
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-808-0199
Mailing Address - Street 1:15731 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-6179
Mailing Address - Country:US
Mailing Address - Phone:310-259-3580
Mailing Address - Fax:
Practice Address - Street 1:15731 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-6179
Practice Address - Country:US
Practice Address - Phone:310-259-3580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-07
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31663111N00000X
CAAC5049171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty