Healthcare Provider Details

I. General information

NPI: 1811120595
Provider Name (Legal Business Name): BMC ACUPUNCTURE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2009
Last Update Date: 08/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3053 W OLYMPIC BLVD STE 305
LOS ANGELES CA
90006-2558
US

IV. Provider business mailing address

3053 W OLYMPIC BLVD STE 305
LOS ANGELES CA
90006-2558
US

V. Phone/Fax

Practice location:
  • Phone: 213-251-9911
  • Fax: 213-380-3922
Mailing address:
  • Phone: 213-251-9911
  • Fax: 213-380-3922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License NumberAC6721
License Number StateCA

VIII. Authorized Official

Name: KWEON YOUNG YOO
Title or Position: PRESIDENT
Credential: L.AC.
Phone: 213-251-9911