MEDICARE: SOONJOO JEONG LA.C, DIPL.AC.

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
1	171100000X	Acupuncturist	AC9270	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	019220	OTHER		NCCAOM ID #
2	AC9270	OTHER	CA	CALIFORNIA LICENSE

General Provider Information

NPI Number	:	1386786028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOONJOO JEONG LA.C, DIPL.AC.

Provider Business Mailing Address
First Line	:	527 E. WINDSOR ROAD
Second Line	:	#207
City	:	GLENDALE
State	:	CA
Zip	:	91205-4120
Country	:	US
Telephone Number	:	818-242-4878
Fax Number	:

Provider Business Practice Location Address
First Line	:	527 E. WINDSOR ROAD
Second Line	:	#207
City	:	GLENDALE
State	:	CA
Zip	:	91205-4120
Country	:	US
Telephone Number	:	818-242-4878
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	01/22/2013

Similar Medicare Providers

1568153062 — CAMELIA LADJADJ LAC
Practice Location Address:

4332 W DESERT COVE AVE
GLENDALE, AZ
85304-4120

Practice Phone: 614-805-3292
Practice Fax:

1508678723 — HEALTHPLUS RX
Practice Location Address:

1220 W GLENOAKS BLVD STE 203
GLENDALE, CA
91201-4120

Practice Phone: 818-813-3230
Practice Fax:

1760406771 — LON MILLER MD
Practice Location Address:

4120 W SOFT WIND DR
GLENDALE, AZ
85310-4000

Practice Phone: 509-336-3775
Practice Fax: 623-547-7196

1487716064 — REMEDY DRUGS BROADWAY INC
Practice Location Address:

459 W BROADWAY , STE 4
GLENDALE, CA
91204-4120

Practice Phone: 818-548-6165
Practice Fax: 818-548-7095

1285163568 — EZ TRANS, INC.
Practice Location Address:

459 W BROADWAY UNIT 10B
GLENDALE, CA
91204-4120

Practice Phone: 800-551-1555
Practice Fax: 818-662-8835

1932774528 — SIGNIFICANT HOSPICE CARE, INC.
Practice Location Address:

1220 W GLENOAKS BLVD STE 203
GLENDALE, CA
91201-4120

Practice Phone: 747-240-6633
Practice Fax: 747-240-6633

Directions to “ SOONJOO JEONG LA.C, DIPL.AC.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.