Provider Demographics
NPI:1336935329
Name:JKT GROUP INC.
Entity type:Organization
Organization Name:JKT GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYUNG TAI
Authorized Official - Middle Name:
Authorized Official - Last Name:JUN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:213-258-7447
Mailing Address - Street 1:14441 BEACH BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5350
Mailing Address - Country:US
Mailing Address - Phone:213-258-7447
Mailing Address - Fax:
Practice Address - Street 1:14441 BEACH BLVD STE 106
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5350
Practice Address - Country:US
Practice Address - Phone:213-258-7447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty