| NPI | 1609165133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYUNGSOO MO Owner 909-263-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC11989) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U01843) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2016-01-27 |