Healthcare Provider Details

I. General information

NPI: 1487325106
Provider Name (Legal Business Name): ACUPROGROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2021
Last Update Date: 09/22/2021
Certification Date: 09/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1437 W BEVERLY BLVD
MONTEBELLO CA
90640-4154
US

IV. Provider business mailing address

1437 W BEVERLY BLVD
MONTEBELLO CA
90640-4154
US

V. Phone/Fax

Practice location:
  • Phone: 323-887-7575
  • Fax:
Mailing address:
  • Phone: 323-887-7575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. BONGCHOL YI
Title or Position: OFFICER
Credential:
Phone: 323-887-7575