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NPI Code Detail

MEDICARE: SUNYOUNG MIN

MEDICARE:   SUNYOUNG  MIN
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
1171100000XAcupuncturistAC14745CA

General Provider Information

NPI Number : 1790024776
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNYOUNG MIN
Provider Business Mailing Address
First Line : 1387 N OXFORD AVE
Second Line :
City : PASADENA
State : CA
Zip : 91104-2730
Country : US
Telephone Number : 626-800-9086
Fax Number : 626-808-0054
Provider Business Practice Location Address
First Line : 1737 E WASHINGTON BLVD
Second Line : SUITE 2
City : PASADENA
State : CA
Zip : 91104-2768
Country : US
Telephone Number : 626-800-9086
Fax Number : 626-808-0054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2013
Last Update Date : 02/11/2013

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Directions to “ SUNYOUNG MIN ” Practice Location

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