Most Relevant Information
Provider Data
| NPI Number: | 1003454612 |
| Provider Name: | EARNKYUNG SHIN DAOM, L.AC. |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | 17823 |
Most Important Dates
| Enumeration Date: | 12/13/2019 |
| Last Updated: | 02/04/2020 |
Provider Practice Location
1700 WESTWOOD BLVD STE H
LOS ANGELES
CA
900245608
Practice Location Phone/Fax
| Phone: | 8052627855 |
| Fax: |
Provider Mailing Location
3185 WILSHIRE BLVD UNIT 461
LOS ANGELES
CA
900101243
Provider Mailing Phone/Fax
| Phone: | 8052627855 |
| Fax: |