Provider Demographics
NPI:1265963714
Name:YEA EUN ACUPUNCTURE INC
Entity type:Organization
Organization Name:YEA EUN ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SANG
Authorized Official - Middle Name:EON
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC,LAC
Authorized Official - Phone:408-482-9234
Mailing Address - Street 1:693 E REMINGTON DR STE A
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-1977
Mailing Address - Country:US
Mailing Address - Phone:408-482-9234
Mailing Address - Fax:
Practice Address - Street 1:693 E REMINGTON DR STE A
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1977
Practice Address - Country:US
Practice Address - Phone:408-482-9234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC17256171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty