Provider Demographics
NPI:1922244730
Name:JUHN, EUNJU (LAC)
Entity Type:Individual
Prefix:
First Name:EUNJU
Middle Name:
Last Name:JUHN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 E DUARTE RD
Mailing Address - Street 2:#D
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3962
Mailing Address - Country:US
Mailing Address - Phone:626-315-0079
Mailing Address - Fax:
Practice Address - Street 1:709 W WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4709
Practice Address - Country:US
Practice Address - Phone:323-888-0540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12591171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist