List of Licensees as of 2/6/2020 State of Nevada Board of ...

[Pages:1]DOCTORS OF ORIENTAL MEDICINE List of Licensees (11/2/2021)

Last Name Abare Airheart De Rodriguez Bachman Bell Breaux Brookman Cao Chelli Choo Chow Clowers Danchak DePry Donofrio Edge Eichelberger Ferran Ferris Fink-Soto Finley Gaffney Galloway Grant Han Harroll Herskovitz Hollinger Im Italiano Jones Jordan Kelley Kerrigan Kobunoya Kohl Labrum Lam Lamerdin

Lanier LaPuma Jr. Lee Lee Lee Lee-Sedera Lehmer Link Lok McClure McKenney McSweeney Mitchell Mlakar Murphy Nguyen Noborikawa Ong Osathanugrah Park Pasternack Pavlik Pechtel Polonia Ran Restrepo Rhee Rhee Rios Roderick Roderick Roth Rueckl Sage Sallaberry Sekine Steele Stueber Sutton Taylor Tong Tongco-Nguyen

Tracey Walter Wampole Wellman Wilson Windham Worley-Tabor Xu Zhang Zhang

First Name Rachel

Address 512 N. Division Street

Rachael

5445 W. Sahara

Chad

6630 S. McCarren Blvd. #B15

Rachael

520 Mt Rose St

Sarah

6348 S. Rainbow Blvd., #110

Heather

2760 Lake Sahara Dr., #104

Luke Wen-Hwa

465 California Ave.

Elli

512 N. Division Street

Tae Cheong

3663 W. 6th St., #202

Chia Hua Linda

8751 W. Charleston Blvd. #210

Megan

15 McCabe Dr. #200

Gary

9393 Gateway Drive

Amy

amydepry@

Ariel

arieldono2015@

David

1528 Hwy. 395, Ste. 230

Bruce

85 Washington Street

Raina

890 Mill St #303

Michael

5594 S. Fort Apache Rd., #110

Laura

laurafinksoto@

Tara

6490 S. McCarran Boulevard, # F52

Katie

1625 E. Prater Way #103

Heather

2760 Lake Sahara Dr., #104

Lisa

7381 Prairie Falcon Rd., #140

Choonkook

jayhan57@

Youn

6376 Spring Mountain Rd., #6

Michel

356 Sweet Pea Arbor

Brook

6180 Mae Anne Ave., Suite 1

Grace

7500 W. Lake Mead Blvd., #9-294

Krista

890 Mill St #303

Kristie

140 W. Huffaker Ln Ste 504

Stephanie

7390 W. Sahara Ave Suite 235

Fiona

2920 N. Green Valley Pkwy., # 723

Michael

917 Tahoe Blvd., Ste. 300

Yoriko

1223 S. Maryland Pkwy

Rachel

5594 S. Fort Apache Rd., #110

Michael

6440 Sky Pointe Dr. Ste 140-248

Andy

7955 W. Sahara, Suite 101

Maureen (2 locations)512 N. Division Street

889 Alder Avenue, Suite 302

Anita

2200 W. Horizon Ridge Pkwy., #D

Nicholas

1425 George Ferris Dr., #M151

Duk Joon

2710 S. Maryland Pkwy., #B

Sanghyun

350 S. Lake Ave., #220

Sunyoung

1208B VFW Parkway, Suite 201

Yoojin

3030 S. Jones Blvd., #107

Denise

drenee@

Vince

2920 S. Rainbow Blvd #140

Peter

1818 E. Desert Inn Rd.

Carla

12710 Northwoods Blvd., #6

Maureen

6121 Lakeside Drive, Suite 110

Farolyn

hendersonacupuncture@

Richard Kyo

2400 N. Tenaya Way, Suite 117

Jessica

6830 Prestwick Circle

Pamela

894 Southwood Blvd.

Khai

5445 W. Sahara Avenue

Faith

1770 W. Horizon Ridge Pkwy, #130

Rachel

rong@wongu.edu

Vimolroj

8630 S. Eastern Ave

Seung Bai

120 Continental Drive

Leslie

5594 S. Fort Apache Rd., #110

Stephanie

1701 County Rd., Ste N

Kui Wo Chen

9252 Snow Flower Avenue

Bruna

1481 W. Warm Springs, Suite 129

Jin Li

7595 W. Washington Ave., #A170

Humberto

5594 S. Fort Apache Rd., #110

Hak Eun

1995 Paradise Road

Olivia

1995 Paradise Road

Joel

5820 S. Pecos Rd., #100

Heather

2055 Windmill Lane, #155

Matthew

9525 W. Hillwood Dr.

Sharon

srothlacomd@

Joseph

520 Mt Rose St

Setsuko Hadano 7381 Prairie Falcon Rd., #141

Arianne

661 Sierra Rose Dr.

Keita

1223 S. Maryland Pkwy

DuWayne

duwaynes@

Angela

1481 W. Warm Springs, Suite 129

Holly

hollyasutton_21@

Katania

645 Sierra Rose, #102B

Miu Ying

3047 S. Decatur Blvd.

Donna (2 locations) 8630 S. Eastern Ave

1481 W. Warm Springs, Suite 129

Margaret

1701 County Rd., Ste N

Jessica

3320 N. Buffalo Dr Ste 205B

Alyssa

2760 Lake Sahara Dr., #104

Susan

acumoxagirl@

Melissa

10471 Double R Blvd., #D

Alia

aliamski@

Christina

8610 S. Eastern Ave., #3

Ping

5288 Spring Mtn Rd #250

Huiwen

9163 W. Flamingo Rd. Ste. 110

Lin

3211 N. Tenaya Way, Ste. 106

Ci t y Carson City

Zi p

State Code

Phone

Issue Date

NV 89703 (775) 841-3336 7/9/2020

Las Vegas

NV 89146 (702) 368-0508 7/9/2020

Reno

NV 89509 (775) 507-4740 9/22/2016

Reno

NV 89509 (775) 329-5100 4/22/2021

Las Vegas

NV 89118 (702) 721-8277 7/9/2020

Las Vegas

NV 89117 (702) 527-2821 12/8/2009

Reno

NV 89509 (775) 329-6663 12/11/1982

Carson City

NV 89703 (775) 841-3336 7/9/2020

Los Angeles

CA 90010 (213) 381-1700 6/26/2007

Las Vegas

NV 89117 (702) 580-8672 8/1/2013

Reno

NV 89511 (775) 204-4000 7/23/2015

Reno

NV 89521 (775) 849-9800 12/21/2002

1/8/2014

10/7/2021

Gardnerville

NV 89410 (775)783-4930 6/9/2009

Reno

NV 89503 (775) 827-6901 2/23/2002

Reno

NV 89502 (775) 996-3910 7/10/2013

Las Vegas

NV 89148 (702) 763-1168 7/10/2013

4/22/2021

Reno

NV 89509 (775) 337-1334 2/26/2006

Sparks

NV 89434 (775) 338-5728 6/27/2017

Las Vegas

NV 89117 (702) 527-2821 7/30/2019

Las Vegas

NV 89128 (702) 539-9185 6/9/2009

(702) 540-0625 1/31/2019

Las Vegas

NV 89146 (702) 888-1713 6/27/2017

Las Vegas

NV 89144 (702) 838-8383 7/8/2010

Reno

NV 89523 (775) 324-4008 1/8/2005

Las Vegas

NV 89128 (702) 245-0160 7/9/2020

Reno

NV 89502 (775) 386-2890 7/23/2015

Reno

NV 89511 (775) 800-1884 12/21/2011

Las Vegas

NV 89117 (702) 382-8484 7/12/2003

Henderson

NV 89014 (702) 369-3406 11/27/2001

Incline Village NV 89451 (775) 832-3788 11/13/2001

Las Vegas

NV 89104 (702) 462-9258 1/9/2020

Las Vegas

NV 89148 (702) 763-1168 7/10/2013

Las Vegas

NV 89131 (702) 429-7369 11/27/2001

Las Vegas

NV 89117 (702) 405-6105 8/28/2008

Carson City

NV 89703 (775) 841-3336 8/25/2001

Incline Village NV 89451

Henderson

NV 89052 (702) 204-1342 1/26/2013

Sparks

NV 89434 (775) 300-6143 1/31/2014

Las Vegas

NV 89109 (702) 734-6903 12/10/1974

Pasedena

CA 91101 (213) 369-0720 7/30/2019

Boston

MA O2132 (617) 327-1812 6/27/2017

Las Vegas

NV 89146 (702) 708-2207 1/23/2018

10/7/2021

Las Vegas

NV 89146 (702) 444-4775 8/24/2004

Las Vegas

NV 89169 (702) 732-0178 5/23/1975

Truckee

CA 96161 (530) 386-4851 1/23/2018

Reno

NV 89511 (775) 825-1912 5/17/2003

11/13/2001

Las Vegas

NV 89128 (702) 481-6216 1/8/2014

Reno

NV 89502 (775) 686-8596 1/31/2019

Incline Village NV 89451 (775) 799-5479 7/9/2020

Las Vegas

NV 89146 (702) 368-0508 1/14/2021

Henderson

NV 89012 (702) 460-3550 1/23/2017

10/7/2021

Las Vegas

NV 89123 (702) 852-1280 7/18/2014

Reno

NV 89509 (775) 786-3302 12/11/1982

Las Vegas

NV 89148 (702) 763-1168 7/9/2018

Minden

NV 89423 (775) 400-1371 8/25/2011

Las Vegas

NV 89147 (702) 360-9936 12/7/1991

Henderson

NV 89014 (702) 475-0870 9/24/2020

Las Vegas

NV 89128 (702) 362-1300 8/20/2000

Las Vegas

NV 89148 (702) 763-1168 7/30/2019

Las Vegas

NV 89104 (702) 732-0051 3/9/1974

Las Vegas

NV 89104 (702) 732-0051 1/31/2008

Las Vegas

NV 89120 (702) 704-1567 2/27/2017

Las Vegas

NV 89123 (702) 899-5278 1/23/2018

Las Vegas

NV 89134 (702) 642-5446 1/23/2018

(702) 259-6996 6/18/2001

Reno

NV 89509 (775) 329-5100 12/24/2012

Las Vegas

NV 89128 (702) 348-7742 12/21/2002

Reno

NV 89511 (775) 982-8213 7/9/2018

Las Vegas

NV 89104 (702) 462-9258 7/9/2020

(702) 386-2828 1/23/2018

Henderson

NV 89014 (702) 475-0870 2/8/2015

1/14/2021

Reno

NV 89511 (775) 742-2769 12/9/2008

Las Vegas

NV 89102 (702) 368-2623 12/10/1983

Las Vegas

NV 89123 (702) 852-1280 7/9/2020

Henderson

NV 89014 (702) 475-0870

Minden

NV 89423 (775) 749-8198 8/28/2008

Las Vegas

NV 89129 (702) 533-3699 6/12/2008

Las Vegas

NV 89117 (702) 527-2821 12/9/2008

4/22/2021

Reno

NV 89521 (775) 227-3655 1/23/2018

10/7/2021

Las Vegas

NV 89123 (702) 343-4905 1/14/2021

Las Vegas

NV 89146 (702) 220-4202 1/26/2013

Las Vegas

NV 89147 (702) 898-7899 12/4/1993

Las Vegas

NV 89129 (702) 839-2885 6/20/1996

Expiration Date

2/1/2022

2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022

2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022

2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022

2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022 2/1/2022

Status Active

License Disciplinary

No.

Actions

2031 Good Std

Active Active Active Active Active Active Active Active Active Active Active Inactive Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active

2032 2003 2047 2033 1033

52 2034 1023 1046 2000 1010 1049 2051 1031 101 1045 1043 2045 1022 2008 2025 1032 2020 2009 1035 1021 2038 2001 1037 1014 1007 1005 2030 1044 1006 1027 1002

Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std

Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std

Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active

1040 1048

25 2026 2010 2011 2052 1017

30 2012 1013 1004 1047 2023 2035 2042 2006 2053 1052

50 2019 1036

65 2041 1003 2027

16 1025 2007 2013 2014 100 1039 1012 2018 2036 2016 1053 2043 1030

53 2037

Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std

Active Active Active Active Active Active Active Active Active Active

1028 1026 1029 2046 2017 2054 2044 1041

68 70

Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std Good Std

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