Provider Demographics
NPI:1265783724
Name:SUN AND MOON ACUPUNCTURE,INC
Entity type:Organization
Organization Name:SUN AND MOON ACUPUNCTURE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOO HYUN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOON
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DAOM
Authorized Official - Phone:213-268-3007
Mailing Address - Street 1:758 E COLORADO BLVD
Mailing Address - Street 2:201
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2127
Mailing Address - Country:US
Mailing Address - Phone:213-268-3007
Mailing Address - Fax:
Practice Address - Street 1:758 E COLORADO BLVD
Practice Address - Street 2:201
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2127
Practice Address - Country:US
Practice Address - Phone:213-268-3007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11179171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty