CA Wall License 3095 Information
| Name | Jeongbok Nam |
| License Number | 3095 |
| Individual or Organization | O |
| Address | 6301 Beach Blvd, Ste 200
Buena Park, CA 90621 |
| County | Orange |
| License Status | Active |
| License Original Issue Date | 5/1/2017 |
| License Expiration Date | 10/31/2022 |
| License Type | Wall License |
| Agency | Acupuncture Board |