Provider Demographics
NPI:1043371289
Name:OU, JUCHUN (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MS
First Name:JUCHUN
Middle Name:
Last Name:OU
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 GRAND AVE 303
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94600-1005
Mailing Address - Country:US
Mailing Address - Phone:510-654-3678
Mailing Address - Fax:510-654-7326
Practice Address - Street 1:3901 GRAND AVE 303
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-1005
Practice Address - Country:US
Practice Address - Phone:510-654-3678
Practice Address - Fax:510-654-7326
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4309171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist