Provider Demographics
NPI:1538588157
Name:TJ ENERGY, INC.
Entity type:Organization
Organization Name:TJ ENERGY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HYUN
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:714-366-1240
Mailing Address - Street 1:PO BOX 103
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92836-0103
Mailing Address - Country:US
Mailing Address - Phone:714-366-1240
Mailing Address - Fax:714-882-5797
Practice Address - Street 1:2461 E ORANGETHORPE AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-5302
Practice Address - Country:US
Practice Address - Phone:714-366-1240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14110171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty