Provider Demographics
NPI:1013114529
Name:WON, TAEK HOON (L,AC)
Entity Type:Individual
Prefix:
First Name:TAEK
Middle Name:HOON
Last Name:WON
Suffix:
Gender:M
Credentials:L,AC
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:TAEK HOON
Other - Last Name:WON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:L,AC
Mailing Address - Street 1:2304 REDONDO BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-1528
Mailing Address - Country:US
Mailing Address - Phone:213-603-1670
Mailing Address - Fax:562-634-3313
Practice Address - Street 1:2304 REDONDO BEACH BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-1528
Practice Address - Country:US
Practice Address - Phone:213-603-1670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11477171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist