| NPI | 1801943022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUN JEONG SONG Acupuncturist 310-859-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC8225) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC12865) |
| 171100000X Acupuncturist (Licence: CA AC10601) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2012-01-25 |