Provider Demographics
NPI:1639831316
Name:JOY ACUPUNCTURE & HERB CLINIC
Entity Type:Organization
Organization Name:JOY ACUPUNCTURE & HERB CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAC
Authorized Official - Prefix:
Authorized Official - First Name:YONG KI
Authorized Official - Middle Name:
Authorized Official - Last Name:YI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-592-2323
Mailing Address - Street 1:1640 S 318TH PL STE D
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8584
Mailing Address - Country:US
Mailing Address - Phone:206-592-2323
Mailing Address - Fax:
Practice Address - Street 1:1640 S 318TH PL STE D
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8584
Practice Address - Country:US
Practice Address - Phone:206-592-2323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-09
Last Update Date:2021-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service