Jae Y Jung
Acupuncturist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1184058828
StatusActive
Last updated in NPPESAug 29, 2013
Details
- NPI
- 1184058828
- Entity type
- Individual (NPI-1)
- Name
- Jae Y Jung
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2013
- Last updated
- Aug 29, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AC 4111 | CA | Yes |
Practice location
242 N St Andrews PlLos Angeles, CA 90004-4024
Phone 323-464-7575 · Fax 323-464-7575
Mailing address
242 N St Andrews PlLos Angeles, CA 90004-4024
Phone 323-464-7575 · Fax 323-464-7575
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