Healthcare Provider Details

I. General information

NPI: 1588062061
Provider Name (Legal Business Name): PANACURE ACUPUNCTURE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2014
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8932 KATELLA AVE STE 103
ANAHEIM CA
92804-6297
US

IV. Provider business mailing address

8932 KATELLA AVE STE 103
ANAHEIM CA
92804-6297
US

V. Phone/Fax

Practice location:
  • Phone: 714-873-7793
  • Fax: 714-539-3902
Mailing address:
  • Phone: 714-873-7793
  • Fax: 323-354-4823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC11269
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number28674
License Number StateCA

VIII. Authorized Official

Name: HAENGHOON YOON
Title or Position: OWNER
Credential: ACUPUNCTURIST
Phone: 714-833-7558