Jeong, Soonjoo

Jeong, Soonjoo is an individual health care provider with primary practice located at 527 E. Windsor Road #207, Glendale CA 91205-4120. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Jeong, Soonjoo can be contacted via phone (818) 242-4878.

Contact Information

Primary practice address
527 E. Windsor Road #207 Glendale CA 91205-4120
Phone: (818) 242-4878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC9270 California

Profile Details

NPI number 1386786028
LBN Legal business name Jeong, Soonjoo
Credentials LA.C, DIPL.AC.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jan 22nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386786028 NPPES
Other 019220 NCCAOM ID #
Other AC9270 NCCAOM ID #

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