Healthcare Provider Details

I. General information

NPI: 1790925832
Provider Name (Legal Business Name): CONTEMPORARY ALTERNATIVE MEDICINE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2009
Last Update Date: 02/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8610 WEST 3RD STREED
LOS ANGELES CA
90048
US

IV. Provider business mailing address

8610 WEST 3RD STREET
LOS ANGELES CA
90048
US

V. Phone/Fax

Practice location:
  • Phone: 310-734-7539
  • Fax: 310-734-7540
Mailing address:
  • Phone: 310-871-4888
  • Fax: 310-815-9084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License NumberAC12632
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number673449
License Number StateCA

VIII. Authorized Official

Name: HYE SUNG YUN
Title or Position: PRESIDENT
Credential: LAC, DIP.O.M., RN
Phone: 310-871-4888