Search › California › 171100000X
Tae Kwak, L.AC
NPI 1134390974 · on the registry since 2008
Practice
- Address
- 163 S Fairfax Ave
#2
Los Angeles, CA 90036 - Phone
- (323) 933-6490
- Fax
- (323) 933-6590
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California