Healthcare Provider Details

I. General information

NPI: 1114372158
Provider Name (Legal Business Name): HANGUL ACUPUNCTURE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2016
Last Update Date: 04/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7860 IMPERIAL HWY SUITE A
DOWNEY CA
90242-3464
US

IV. Provider business mailing address

7860 IMPERIAL HWY SUITE A
DOWNEY CA
90242-3464
US

V. Phone/Fax

Practice location:
  • Phone: 562-869-8877
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 15957
License Number StateCA

VIII. Authorized Official

Name: SUNG YUN
Title or Position: CEO
Credential: PH.D., LAC.
Phone: 562-869-8877