Provider Demographics
NPI:1174063192
Name:HOE, HYOSOOK KIM (DC)
Entity type:Individual
Prefix:
First Name:HYOSOOK
Middle Name:KIM
Last Name:HOE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2540 COUNTRY HILLS RD APT 145
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-4628
Mailing Address - Country:US
Mailing Address - Phone:818-585-5204
Mailing Address - Fax:
Practice Address - Street 1:2540 COUNTRY HILLS RD APT 145
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-4628
Practice Address - Country:US
Practice Address - Phone:818-585-5204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-24
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33028111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor