Provider Demographics
NPI:1548317829
Name:SUH, EMILRHE JA (ACUPUNCTURIST)
Entity type:Individual
Prefix:
First Name:EMILRHE
Middle Name:JA
Last Name:SUH
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 S WESTERN AVE STE 403
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-5860
Mailing Address - Country:US
Mailing Address - Phone:323-734-2044
Mailing Address - Fax:
Practice Address - Street 1:1818 S WESTERN AVE STE 403
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-5860
Practice Address - Country:US
Practice Address - Phone:323-734-2044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8164171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist