Yi, Hae Suk

Yi, Hae Suk is an sole proprietor health care provider with primary practice located at 738 S Waterman Ave Ste A23 , San Bernardino CA 92408-2362. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Yi, Hae Suk can be contacted via phone (909) 381-8017.

Contact Information

Primary practice address
738 S Waterman Ave Ste A23 San Bernardino CA 92408-2362
Fax: (909) 381-9828
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC2436 California

Profile Details

NPI number 1508980079
LBN Legal business name Yi, Hae Suk
Credentials C.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508980079 NPPES
California Other AC0024360 MEDICAL

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