Provider Demographics
NPI:1003549874
Name:LIVING ACUPUNCTURE
Entity Type:Organization
Organization Name:LIVING ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JUNG
Authorized Official - Middle Name:KI
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM
Authorized Official - Phone:818-558-7146
Mailing Address - Street 1:1510 W VERDUGO AVE STE D
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-2473
Mailing Address - Country:US
Mailing Address - Phone:818-558-7146
Mailing Address - Fax:818-558-7217
Practice Address - Street 1:1510 W VERDUGO AVE STE D
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2473
Practice Address - Country:US
Practice Address - Phone:818-558-7146
Practice Address - Fax:818-558-7217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty