Taek Soo Jung L.AC

NPI 1023218989 - Acupuncturist - 171100000X

NPI Details
NPI 1023218989
Gender Male
Enumeration Date 07/19/2007
Last Updated 09/11/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
415 N EL CAMINO REAL
NONE
SAN CLEMENTE CA, 92672-4718, US
Phone (213) 327-5616
Fax
Business Location
415 N EL CAMINO REAL
NONE
SAN CLEMENTE CA, 92672-4718, US
Phone (213) 327-5616
Fax
Toxanomy
Taxonomy Code 171100000X
License State California
License Number 11604
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According to our database, Mr. Taek Soo Jung L.AC NPI is 1023218989, taxonomy code is 171100000X and license number is 11604, license state is located at California. Taek Soo Jung L.AC physically located at 415 N El Camino Real, San Clemente CA, 92672-4718. NPI Number Taek Soo Jung L.AC has the Individual type.

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1023218989 NPI number is provided on an as is basis without warranty of any kind. 1023218989 is maintained by the National Plan & Provider Enumeration System. The contents of Taek Soo Jung L.AC are for informational purposes only.