Provider Demographics
NPI:1982034609
Name:KANG, HYO SUK (L AC)
Entity Type:Individual
Prefix:
First Name:HYO
Middle Name:SUK
Last Name:KANG
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8501 WILSHIRE BLVD
Mailing Address - Street 2:240
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3150
Mailing Address - Country:US
Mailing Address - Phone:310-854-0059
Mailing Address - Fax:310-854-0069
Practice Address - Street 1:8501 WILSHIRE BLVD
Practice Address - Street 2:240
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3150
Practice Address - Country:US
Practice Address - Phone:310-854-0059
Practice Address - Fax:310-854-0069
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC15572171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist