Provider Demographics
NPI:1679947345
Name:DAMI, INC
Entity type:Organization
Organization Name:DAMI, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:SEOK-HWAN
Authorized Official - Last Name:BAHNG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:213-435-6838
Mailing Address - Street 1:1279 S GOLDSTONE CIR
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-4669
Mailing Address - Country:US
Mailing Address - Phone:213-435-6838
Mailing Address - Fax:
Practice Address - Street 1:1525 E ONTARIO AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-3793
Practice Address - Country:US
Practice Address - Phone:951-279-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-18
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6007171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty