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Contact Information

JUNGGYU KWAK
7800 COMMONWEALTH AVE #203
BUENA PARK, CA90621
 Phone: 714-670-9138
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for JUNGGYU KWAK · (Male)

NPI Number 1255755690
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2014
Last updated 02/05/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # AC 15423
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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