Provider Demographics
NPI:1457965931
Name:DAWOOM HEALTHCARE CENTER, INC.
Entity Type:Organization
Organization Name:DAWOOM HEALTHCARE CENTER, INC.
Other - Org Name:DAWOOM ACUPUNCTURE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNG
Authorized Official - Middle Name:SOOK
Authorized Official - Last Name:SEO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:805-728-1003
Mailing Address - Street 1:124 CARMEN LN STE E
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-7768
Mailing Address - Country:US
Mailing Address - Phone:805-728-1003
Mailing Address - Fax:805-623-5527
Practice Address - Street 1:124 CARMEN LN STE E
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93458-7768
Practice Address - Country:US
Practice Address - Phone:805-728-1003
Practice Address - Fax:805-623-5527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty