Provider Demographics
NPI:1326413303
Name:CJ ACUPUNCTURE INC
Entity Type:Organization
Organization Name:CJ ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JUN HEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:562-714-6361
Mailing Address - Street 1:9461 FLOWER ST
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5705
Mailing Address - Country:US
Mailing Address - Phone:562-714-6361
Mailing Address - Fax:562-867-4733
Practice Address - Street 1:9461 FLOWER ST
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5705
Practice Address - Country:US
Practice Address - Phone:562-714-6361
Practice Address - Fax:562-867-4733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALA.C 11115171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty