Provider Demographics
NPI:1255630497
Name:RHEE, SEUNG YEON (LAC)
Entity type:Individual
Prefix:MRS
First Name:SEUNG
Middle Name:YEON
Last Name:RHEE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 S OXFORD AVE # E
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-2909
Mailing Address - Country:US
Mailing Address - Phone:213-384-3374
Mailing Address - Fax:213-384-3374
Practice Address - Street 1:745 S OXFORD AVE # E
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90005-2909
Practice Address - Country:US
Practice Address - Phone:213-384-3374
Practice Address - Fax:213-384-3374
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14025171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist