MEDICARE: DR. JONGHOUN WON D.O.M.,L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC9630	CA

General Provider Information

NPI Number	:	1255476289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONGHOUN WON D.O.M.,L.AC.

Provider Business Mailing Address
First Line	:	16625 CRENSHAW BLVD APT 23
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90504-2144
Country	:	US
Telephone Number	:	213-388-8820
Fax Number	:

Provider Business Practice Location Address
First Line	:	3832 WILSHIRE BLVD STE 103
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-3220
Country	:	US
Telephone Number	:	213-388-8820
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	01/28/2025

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Directions to “ DR. JONGHOUN WON D.O.M.,L.AC.” Practice Location

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