Healthcare Provider Details

I. General information

NPI: 1982922563
Provider Name (Legal Business Name): CHU HA OH L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2010
Last Update Date: 12/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 SEPULVEDA BLVD # 7
TORRANCE CA
90501-5645
US

IV. Provider business mailing address

1730 SEPULVEDA BLVD # 7
TORRANCE CA
90501-5645
US

V. Phone/Fax

Practice location:
  • Phone: 310-517-9028
  • Fax: 310-517-9028
Mailing address:
  • Phone: 310-517-9028
  • Fax: 310-517-9028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 13494
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: