Provider Demographics
NPI:1710204011
Name:DR JOO ACUPUNCTURE,INC
Entity Type:Organization
Organization Name:DR JOO ACUPUNCTURE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNG
Authorized Official - Middle Name:WOO
Authorized Official - Last Name:JOO
Authorized Official - Suffix:
Authorized Official - Credentials:LACUPUNCTURIST,PHD
Authorized Official - Phone:562-861-1177
Mailing Address - Street 1:8847 IMPERIAL HWY
Mailing Address - Street 2:C-1
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-3958
Mailing Address - Country:US
Mailing Address - Phone:562-861-1177
Mailing Address - Fax:562-861-1199
Practice Address - Street 1:8847 IMPERIAL HWY
Practice Address - Street 2:C-1
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-3958
Practice Address - Country:US
Practice Address - Phone:562-861-1177
Practice Address - Fax:562-861-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11016302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1447497185OtherACUPUNCTURE