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General NPI Number Information
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NPI Number | 1902204092
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Entity Type | Organization
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Legal Business Name | JS ALTERNATIVE HEALTH CORPORATION
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Dates
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Enumeration Date | 12/05/2014
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 1950 SUNNYCREST DR SUITE 2000
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City | FULLERTON
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State | CA
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Zip | 92835-3638
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Country | US
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Telephone | 714-773-7000
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Fax | 714-333-4939
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Provider Business Mailing Address
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Address Line | 1950 SUNNYCREST DR SUITE 2000
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City | FULLERTON
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State | CA
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Zip | 92835-3638
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Country | US
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Telephone | 714-773-7000
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Fax | 714-333-4939
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. WOO KYOUNG LEE
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Credential | L.AC
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Telephone | 714-773-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC12314
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC14902
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License Number State | CA
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