Provider Demographics
NPI:1366898132
Name:NATURAL PAIN CARE CENTER INC,
Entity type:Organization
Organization Name:NATURAL PAIN CARE CENTER INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JONGMOO
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:714-591-5956
Mailing Address - Street 1:9872 CHAPMAN AVE
Mailing Address - Street 2:SUITE114
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-2737
Mailing Address - Country:US
Mailing Address - Phone:714-591-5956
Mailing Address - Fax:714-676-1697
Practice Address - Street 1:9872 CHAPMAN AVE
Practice Address - Street 2:SUITE114
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-2737
Practice Address - Country:US
Practice Address - Phone:714-591-5956
Practice Address - Fax:714-676-1697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13616171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty