Provider Demographics
NPI:1780992495
Name:OH, YUNMYUNG (ACUPUNCTURE)
Entity type:Individual
Prefix:
First Name:YUNMYUNG
Middle Name:
Last Name:OH
Suffix:
Gender:M
Credentials:ACUPUNCTURE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 W OLYMPIC BLVD
Mailing Address - Street 2:#218
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-6501
Mailing Address - Country:US
Mailing Address - Phone:213-381-3455
Mailing Address - Fax:213-381-3822
Practice Address - Street 1:3030 W OLYMPIC BLVD
Practice Address - Street 2:#218
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-6501
Practice Address - Country:US
Practice Address - Phone:213-381-3455
Practice Address - Fax:213-381-3822
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12259171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist