MEDICARE: DR. KYUHO ZEON

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	AC8524	CA

General Provider Information

NPI Number	:	1982783114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KYUHO ZEON

Provider Business Mailing Address
First Line	:	3545 WILSHIRE BLVD STE 206
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2378
Country	:	US
Telephone Number	:	213-389-3818
Fax Number	:	213-389-3819

Provider Business Practice Location Address
First Line	:	3545 WILSHIRE BLVD STE 206
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2378
Country	:	US
Telephone Number	:	213-389-3818
Fax Number	:	213-389-3819

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	07/09/2007

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