NPI 1770972150

Virginia University of Oriental Medicine

Organisation Exclusive Provider Organization Fairfax, VA

Practice location

Address: 9401 Mathy Dr STE 100, Fairfax, VA 22031-5312
Phone: (703) 323-5691
Fax: (703) 323-5692

Authorised official

Name: Chang H Kim
Title: Acupuncturist
Phone: (703) 323-5691

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 0121000381 (VA)

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Registry record

NPI: 1770972150
Entity type: Organization
NPI issued: 22 Jan 2015
Record last updated: 7 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.