MEDICARE: MR. DOO YOUN HWANG L ICENCED ACUPUNCTUR

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
1	171100000X	Acupuncturist	AC 9934	CA

General Provider Information

NPI Number	:	1356533202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DOO YOUN HWANG L ICENCED ACUPUNCTUR

Provider Business Mailing Address
First Line	:	10527 WILEY BURKE AVE
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90241-2154
Country	:	US
Telephone Number	:	213-273-6550
Fax Number	:

Provider Business Practice Location Address
First Line	:	4632 SANTA MONICA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1804
Country	:	US
Telephone Number	:	132-390-6254
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2007
Last Update Date	:	08/14/2007

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