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Jj Acu & Herb Clinic

Preferred Provider Organization in Los Angeles, CA. Organization (NPI-2).

NPI number1215354162
StatusActive
Last updated in NPPESJul 31, 2018

Details

NPI
1215354162
Entity type
Organization (NPI-2)
Legal business name
Jj Acu & Herb Clinic
Organization subpart
No
Enumeration date
Mar 27, 2014
Last updated
Jul 31, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305R00000X Preferred Provider OrganizationAC8452CAYes

Practice location

3680 Wilshire Blvd
Ste 108
Los Angeles, CA 90010

Phone 213-263-2803 · Fax 213-263-2869

Mailing address

821 Crenshaw Blvd
Los Angeles, CA 90005-3632

Authorized official

Woo Hyuk Chung
Ceo
3239339370

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