Provider Demographics
NPI:1588733364
Name:HU, JUN (L AC)
Entity type:Individual
Prefix:
First Name:JUN
Middle Name:
Last Name:HU
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7916 SUNRISE BLVD
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-1531
Mailing Address - Country:US
Mailing Address - Phone:916-265-0565
Mailing Address - Fax:916-721-1280
Practice Address - Street 1:7916 SUNRISE BLVD
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-1531
Practice Address - Country:US
Practice Address - Phone:916-265-0565
Practice Address - Fax:916-721-1280
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10192171100000X, 172P00000X
CAAC10192175F00000X, 173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No172P00000XOther Service ProvidersNaprapath
No175F00000XOther Service ProvidersNaturopath
No173C00000XOther Service ProvidersReflexologist