Healthcare Provider Details

I. General information

NPI: 1841075694
Provider Name (Legal Business Name): DR. JANG ACUPUNCTURE CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2023
Last Update Date: 09/04/2023
Certification Date: 09/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 KAPIOLANI BLVD STE 601
HONOLULU HI
96814-3897
US

IV. Provider business mailing address

1600 KAPIOLANI BLVD STE 601
HONOLULU HI
96814-3897
US

V. Phone/Fax

Practice location:
  • Phone: 808-947-7582
  • Fax: 808-947-7583
Mailing address:
  • Phone: 808-947-7582
  • Fax: 808-947-7583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAI HYUK JANG
Title or Position: OWNER/ACUPUNCTURIST
Credential: PH.D., L.AC.
Phone: 808-947-7582