MEDICARE: BMC ACUPUNCTURE CORPORATION

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	302R00000X	Health Maintenance Organization	AC6721	CA

General Provider Information

NPI Number	:	1811120595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BMC ACUPUNCTURE CORPORATION

Provider Business Mailing Address
First Line	:	3053 W OLYMPIC BLVD STE 305
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2558
Country	:	US
Telephone Number	:	213-251-9911
Fax Number	:	213-380-3922

Provider Business Practice Location Address
First Line	:	3053 W OLYMPIC BLVD STE 305
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2558
Country	:	US
Telephone Number	:	213-251-9911
Fax Number	:	213-380-3922

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KWEON YOUNG YOO
Credential	:	L.AC.
Telephone Number	:	213-251-9911

Provider Enumeration Date	:	08/28/2009
Last Update Date	:	08/28/2009

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Directions to “BMC ACUPUNCTURE CORPORATION ” Practice Location

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