Provider Demographics
NPI:1841075694
Name:DR. JANG ACUPUNCTURE CLINIC, LLC
Entity type:Organization
Organization Name:DR. JANG ACUPUNCTURE CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAI
Authorized Official - Middle Name:HYUK
Authorized Official - Last Name:JANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LAC
Authorized Official - Phone:808-947-7582
Mailing Address - Street 1:1600 KAPIOLANI BLVD STE 601
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3897
Mailing Address - Country:US
Mailing Address - Phone:808-947-7582
Mailing Address - Fax:808-947-7583
Practice Address - Street 1:1600 KAPIOLANI BLVD STE 601
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3897
Practice Address - Country:US
Practice Address - Phone:808-947-7582
Practice Address - Fax:808-947-7583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty