Provider Demographics
NPI:1740316546
Name:PYO, HELEN MALSOON (LAC ACUPUNCTURIST)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:MALSOON
Last Name:PYO
Suffix:
Gender:F
Credentials:LAC ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16785 BEAR VALLEY RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-0825
Mailing Address - Country:US
Mailing Address - Phone:760-870-4181
Mailing Address - Fax:
Practice Address - Street 1:16785 BEAR VALLEY RD
Practice Address - Street 2:SUITE 4
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-0825
Practice Address - Country:US
Practice Address - Phone:760-870-4181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8106171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist