Provider Demographics
NPI:1952689127
Name:SUH, KYU S (LAC PHD)
Entity Type:Individual
Prefix:DR
First Name:KYU
Middle Name:S
Last Name:SUH
Suffix:
Gender:M
Credentials:LAC PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8600 W SUNSET BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-2302
Mailing Address - Country:US
Mailing Address - Phone:310-854-0299
Mailing Address - Fax:
Practice Address - Street 1:8600 W SUNSET BLVD STE A
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-2302
Practice Address - Country:US
Practice Address - Phone:310-854-0299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 10227171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist