Provider Demographics
NPI:1982951414
Name:OC FAMILY CAM INC.
Entity Type:Organization
Organization Name:OC FAMILY CAM INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAEHONG
Authorized Official - Middle Name:
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:714-880-5454
Mailing Address - Street 1:8350 LOS CYOTES DR. #M
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621
Mailing Address - Country:US
Mailing Address - Phone:714-880-5454
Mailing Address - Fax:714-522-3491
Practice Address - Street 1:8350 LOS CYOTES DR. #M
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621
Practice Address - Country:US
Practice Address - Phone:714-880-5454
Practice Address - Fax:714-522-3491
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OC FAMILY CAM INC./DBA: OC FAMILY ACUPUNCTURE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA13860171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty