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NPI Code Detail

MEDICARE: SUNHEE SO L.AC

MEDICARE:   SUNHEE  SO  L.AC
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
1171100000XAcupuncturistAC 9776CA

General Provider Information

NPI Number : 1902094709
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNHEE SO L.AC
Provider Business Mailing Address
First Line : 2140 W OLYMPIC BLVD
Second Line : SUITE #401
City : LOS ANGELES
State : CA
Zip : 90006-2207
Country : US
Telephone Number : 310-436-5339
Fax Number :
Provider Business Practice Location Address
First Line : 2140 W OLYMPIC BLVD
Second Line : SUITE #401
City : LOS ANGELES
State : CA
Zip : 90006-2207
Country : US
Telephone Number : 310-436-5339
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2007
Last Update Date : 10/05/2007

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Directions to “ SUNHEE SO L.AC” Practice Location

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