MEDICARE: SEO ACUPUNCTURE & HERB CLINIC, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC5185	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AC5185	OTHER	CA	ACUPUNCTURE BOARD

General Provider Information

NPI Number	:	1063957439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEO ACUPUNCTURE & HERB CLINIC, INC.

Provider Business Mailing Address
First Line	:	2775 W OLYMPIC BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2632
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2775 W OLYMPIC BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2632
Country	:	US
Telephone Number	:	213-822-2330
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	PAUL SEO
Credential	:
Telephone Number	:	213-822-2330

Provider Enumeration Date	:	12/21/2016
Last Update Date	:	12/21/2016

Similar Medicare Providers

1336260348 — KDJ HEALTHCARE INC
Practice Location Address:

2781-2783 W. OLYMPIC BLVD.
LOS ANGELES, CA
90006-2632

Practice Phone: 213-816-0270
Practice Fax: 213-816-0271

1518713585 — KDJ HEALTHCARE INC
Practice Location Address:

2781 W OLYMPIC BLVD
LOS ANGELES, CA
90006-2632

Practice Phone: 213-816-0270
Practice Fax: 213-816-0721

1811864226 — LEANNA DAYOUNG KIM
Practice Location Address:

2781 W OLYMPIC BLVD
LOS ANGELES, CA
90006-2632

Practice Phone: 213-816-0270
Practice Fax:

1669507851 — GRACE KIM
Practice Location Address:

3600 WILSHIRE BLVD STE 2200
LOS ANGELES, CA
90010-2632

Practice Phone: 213-382-4400
Practice Fax:

1366639924 — DENISE MARSHALL
Practice Location Address:

8346 BEVERLY BLVD
LOS ANGELES, CA
90048-2632

Practice Phone: 323-653-1677
Practice Fax:

1992992564 — STEPHANIE CHISM
Practice Location Address:

8346 BEVERLY BLVD
LOS ANGELES, CA
90048-2632

Practice Phone: 323-659-1677
Practice Fax:

Directions to “SEO ACUPUNCTURE & HERB CLINIC, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.