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NPI Code Detail

MEDICARE: MIN CHUL OH L.AC

MEDICARE: MIN CHUL OH 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
1171100000XAcupuncturistAC13315CA

General Provider Information

NPI Number : 1992054530
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIN CHUL OH L.AC
Provider Business Mailing Address
First Line : 4433 S ALAMEDA ST
Second Line : A-56B
City : LOS ANGELES
State : CA
Zip : 90058-2008
Country : US
Telephone Number : 818-571-1586
Fax Number :
Provider Business Practice Location Address
First Line : 4433 S ALAMEDA ST
Second Line : A-56B
City : LOS ANGELES
State : CA
Zip : 90058-2008
Country : US
Telephone Number : 818-571-1586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2012
Last Update Date : 08/29/2012

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Directions to “ MIN CHUL OH L.AC” Practice Location

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