Provider Demographics
NPI:1497221568
Name:DONGJE ACUPUNCTURE INC
Entity Type:Organization
Organization Name:DONGJE ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WOO JEONG
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURIST
Authorized Official - Phone:917-943-7094
Mailing Address - Street 1:1500 KAPIOLANI BLVD STE 102G
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3704
Mailing Address - Country:US
Mailing Address - Phone:917-943-7094
Mailing Address - Fax:
Practice Address - Street 1:1500 KAPIOLANI BLVD STE 102G
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3704
Practice Address - Country:US
Practice Address - Phone:917-943-7094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-16
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty