Okbae Sung | Tustin, CA • PECOS Search

Okbae Sung

Acupuncturist

Other Service Providers

17541 Irvine Blvd Ste E, Tustin, CA 92780-3158

PECOS Enrollment

Based on the most recent information from CMS, provider Okbae Sung does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1508111543
Provider Type
Individual
Full Name
Sung, Okbae
Gender
Female

Sole Proprietor
Yes
Enumeration Date
7/16/2012
Last Updated
7/12/2014

Contact Information

Practice Location

17541 Irvine Blvd Ste E, Tustin, CA 92780-3158

Unlisted Fax

Mailing Location

17541 Irvine Blvd Ste E, Tustin, CA 92780-3158

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License AC14183