Provider Demographics
NPI:1235566571
Name:UNITED COMMUNITY ACUPUNCTURE, INC.
Entity Type:Organization
Organization Name:UNITED COMMUNITY ACUPUNCTURE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAE YOUB
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:714-534-0603
Mailing Address - Street 1:11752 GARDEN GROVE BLVD
Mailing Address - Street 2:#116
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-1423
Mailing Address - Country:US
Mailing Address - Phone:714-534-0603
Mailing Address - Fax:714-534-0603
Practice Address - Street 1:11752 GARDEN GROVE BLVD
Practice Address - Street 2:#116
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-1423
Practice Address - Country:US
Practice Address - Phone:714-534-0603
Practice Address - Fax:714-534-0603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-01
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12628171100000X
CAAC11905171100000X
CAAC12677171100000X
CAAC13103171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty