Provider Demographics
NPI:1811120595
Name:BMC ACUPUNCTURE CORPORATION
Entity type:Organization
Organization Name:BMC ACUPUNCTURE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KWEON
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:YOO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:213-251-9911
Mailing Address - Street 1:3053 W OLYMPIC BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-2558
Mailing Address - Country:US
Mailing Address - Phone:213-251-9911
Mailing Address - Fax:213-380-3922
Practice Address - Street 1:3053 W OLYMPIC BLVD STE 305
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-2558
Practice Address - Country:US
Practice Address - Phone:213-251-9911
Practice Address - Fax:213-380-3922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6721302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization