Healthcare Provider Details

I. General information

NPI: 1518874676
Provider Name (Legal Business Name): NEEDLES & CUPS ACUPUNCTURE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 N GOWER ST STE 103
LOS ANGELES CA
90028-7596
US

IV. Provider business mailing address

1601 N GOWER ST STE 103
LOS ANGELES CA
90028-7596
US

V. Phone/Fax

Practice location:
  • Phone: 323-247-9232
  • Fax: 323-274-0175
Mailing address:
  • Phone: 323-247-9232
  • Fax: 323-274-0175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: JUNG EUN SEO
Title or Position: PRESIDENT
Credential: L.AC.
Phone: 323-247-9232