Provider Demographics
NPI:1639408651
Name:TRIPLE J ACUPUNCTURE INC.
Entity Type:Organization
Organization Name:TRIPLE J ACUPUNCTURE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAE PIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-235-5828
Mailing Address - Street 1:4433 S ALAMEDA ST
Mailing Address - Street 2:# A59B
Mailing Address - City:VERNON
Mailing Address - State:CA
Mailing Address - Zip Code:90058-2008
Mailing Address - Country:US
Mailing Address - Phone:323-235-5828
Mailing Address - Fax:213-427-3557
Practice Address - Street 1:9911 W PICO BLVD
Practice Address - Street 2:# 49
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-2703
Practice Address - Country:US
Practice Address - Phone:310-553-3838
Practice Address - Fax:213-427-3557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-22
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty