Individual ProviderKyeong Ho KoAcupuncturistOther Service ProvidersPractice Address304 N Harbor Blvd, La Habra, CA 90631-4847(562) 694-2878PECOS EnrollmentBased on the most recent information from CMS, provider Kyeong Ho Ko does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1861793200Provider TypeIndividualFull NameKo, Kyeong HoCredentialL.ACGenderMaleSole ProprietorYesEnumeration Date11/16/2010Last Updated10/23/2014Contact InformationPractice LocationPractice Address304 N Harbor Blvd, La Habra, CA 90631-4847Phone(562) 694-2878Fax(562) 694-2809Mailing LocationMailing Address304 N Harbor Blvd, La Habra, CA 90631-4847Phone(562) 694-2878Fax(562) 694-2809Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC 13372California