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NPI Code Detail

MEDICARE: U'R YOUNG ACUPUNCTURE CLINIC, INC.

MEDICARE: U'R YOUNG ACUPUNCTURE 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
1171100000XAcupuncturist5968CA

General Provider Information

NPI Number : 1821124686
Entity Type Code : Organization
Provider Name (Legal Business Name) : U'R YOUNG ACUPUNCTURE CLINIC, INC.
Provider Business Mailing Address
First Line : 520 S. LA FAYETTE PARK PL
Second Line : 550
City : LOS ANGELES
State : CA
Zip : 90057-5421
Country : US
Telephone Number : 213-386-0702
Fax Number : 213-386-0702
Provider Business Practice Location Address
First Line : 520 S LA FAYETTE PARK PL
Second Line : 550
City : LOS ANGELES
State : CA
Zip : 90057-1607
Country : US
Telephone Number : 213-386-0702
Fax Number : 213-386-0702
Authorized Official
Title or Position : PRESIDENT
Name : DR. YOUNG MAN KIM
Credential : D.O.M.
Telephone Number : 213-386-0702
Provider Enumeration Date : 02/26/2007
Last Update Date : 07/30/2009

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