Provider Demographics
NPI:1568943157
Name:HAN SUNG HEALTH CENTER INC
Entity type:Organization
Organization Name:HAN SUNG HEALTH CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HYUN
Authorized Official - Middle Name:CHARLIE
Authorized Official - Last Name:JO
Authorized Official - Suffix:
Authorized Official - Credentials:DC, AEMP
Authorized Official - Phone:425-559-3003
Mailing Address - Street 1:12811 8TH AVE W STE A201
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-6300
Mailing Address - Country:US
Mailing Address - Phone:425-559-3003
Mailing Address - Fax:
Practice Address - Street 1:12811 8TH AVE W STE A201
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-6300
Practice Address - Country:US
Practice Address - Phone:425-559-3003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-22
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty