MEDICARE: JOYHEALTH ACUPUNCTURE LLC

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	2009	NV

General Provider Information

NPI Number	:	1588151377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOYHEALTH ACUPUNCTURE LLC

Provider Business Mailing Address
First Line	:	6376 SPRING MOUNTAIN RD STE 6
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-8818
Country	:	US
Telephone Number	:	702-888-1713
Fax Number	:	702-816-2406

Provider Business Practice Location Address
First Line	:	6376 SPRING MOUNTAIN RD STE 6
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-8818
Country	:	US
Telephone Number	:	702-888-1713
Fax Number	:	702-816-2406

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	DR. YOUN S HARROLL
Credential	:	OMD, LAC
Telephone Number	:	702-888-1713

Provider Enumeration Date	:	04/17/2018
Last Update Date	:	06/16/2018

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