Provider Demographics
NPI:1801322383
Name:OMC REHAB & ACUPUNCTURE INC.
Entity type:Organization
Organization Name:OMC REHAB & ACUPUNCTURE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAENG HOON
Authorized Official - Middle Name:
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURE
Authorized Official - Phone:714-833-7558
Mailing Address - Street 1:996 EVENING CANYON RD
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-2612
Mailing Address - Country:US
Mailing Address - Phone:714-833-7558
Mailing Address - Fax:
Practice Address - Street 1:996 EVENING CANYON RD
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-2612
Practice Address - Country:US
Practice Address - Phone:714-833-7558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-03
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12046171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty