Provider Demographics
NPI:1467844209
Name:DONGKUN LEE ACUPUNCTURE INC
Entity Type:Organization
Organization Name:DONGKUN LEE ACUPUNCTURE INC
Other - Org Name:ORANGE ACUPUNCTURE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DONGKUN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:714-633-0080
Mailing Address - Street 1:1920 E KATELLA AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-5146
Mailing Address - Country:US
Mailing Address - Phone:714-633-0080
Mailing Address - Fax:714-633-0080
Practice Address - Street 1:1920 E KATELLA AVE
Practice Address - Street 2:SUITE F
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-5146
Practice Address - Country:US
Practice Address - Phone:714-633-0080
Practice Address - Fax:714-633-0080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11683171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty