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NPI Code Detail

MEDICARE: EUM JEUN NOH L.AC.

MEDICARE:   EUM JEUN NOH  L.AC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC3440CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AC3440OTHERCALICENSE

General Provider Information

NPI Number : 1073799094
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUM JEUN NOH L.AC.
Provider Business Mailing Address
First Line : 3040 W 7TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90005-1452
Country : US
Telephone Number : 213-739-1279
Fax Number :
Provider Business Practice Location Address
First Line : 3040 W 7TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90005-1452
Country : US
Telephone Number : 213-739-1279
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2008
Last Update Date : 01/22/2008

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Directions to “ EUM JEUN NOH L.AC.” Practice Location

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