Provider Demographics
NPI:1801432901
Name:FEDERAL WAY ACUPUNCTURE CENTER, PLLC
Entity type:Organization
Organization Name:FEDERAL WAY ACUPUNCTURE CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BYUNG KYU
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM, EAMP
Authorized Official - Phone:253-517-5709
Mailing Address - Street 1:202 S 348TH ST STE 4
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-7070
Mailing Address - Country:US
Mailing Address - Phone:253-517-5709
Mailing Address - Fax:253-517-5930
Practice Address - Street 1:202 S 348TH ST STE 4
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-7070
Practice Address - Country:US
Practice Address - Phone:253-517-5709
Practice Address - Fax:253-517-5930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-23
Last Update Date:2019-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty