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NPI Code Detail

MEDICARE: JUN K JOUNG LAC

MEDICARE: JUN K JOUNG LAC
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
1171100000XAcupuncturistAC4907CA

General Provider Information

NPI Number : 1629493200
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUN K JOUNG LAC
Provider Business Mailing Address
First Line : 505 SHATTO PL
Second Line : 200
City : LOS ANGELES
State : CA
Zip : 90020-1754
Country : US
Telephone Number : 213-736-0450
Fax Number : 213-736-0439
Provider Business Practice Location Address
First Line : 505 SHATTO PL
Second Line : 200
City : LOS ANGELES
State : CA
Zip : 90020-1754
Country : US
Telephone Number : 213-736-0450
Fax Number : 213-736-0439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2014
Last Update Date : 02/19/2014

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Directions to “ JUN K JOUNG LAC” Practice Location

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