Provider Demographics
NPI:1174889638
Name:JUN, PAUL H (L AC)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:H
Last Name:JUN
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:HWUY
Other - Middle Name:M
Other - Last Name:JUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 WILSHIRE BLVD STE 510
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-3863
Mailing Address - Country:US
Mailing Address - Phone:714-726-5286
Mailing Address - Fax:213-403-5434
Practice Address - Street 1:700 WILSHIRE BLVD STE 510
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-3863
Practice Address - Country:US
Practice Address - Phone:714-726-5286
Practice Address - Fax:213-403-5434
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12797171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist