Healthcare Provider Details

I. General information

NPI: 1982958807
Provider Name (Legal Business Name): PINNACLE CAM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2012
Last Update Date: 10/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 116TH AVE NE STE 201
BELLEVUE WA
98004-3013
US

IV. Provider business mailing address

2800 NORTHUP WAY STE 120
BELLEVUE WA
98004-1440
US

V. Phone/Fax

Practice location:
  • Phone: 425-774-1538
  • Fax: 425-774-5171
Mailing address:
  • Phone: 425-774-1538
  • Fax: 425-774-5171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: HYUN J HONG
Title or Position: OWNER
Credential: MD
Phone: 425-774-1538