Healthcare Provider Details

I. General information

NPI: 1962325894
Provider Name (Legal Business Name): ACUPUNCTURE INNERGLOW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 LOS FELIZ BLVD #203
LOS ANGELES CA
90039
US

IV. Provider business mailing address

2950 LOS FELIZ BLVD #203
LOS ANGELES CA
90039
US

V. Phone/Fax

Practice location:
  • Phone: 323-485-4191
  • Fax:
Mailing address:
  • Phone: 323-485-4191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: BON HWANG
Title or Position: PRESIDENT
Credential: AC
Phone: 323-485-4191