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Organization
JIWON INVESTMENT, INC.
Active
Organization
JIWON INVESTMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANG SUK BAE LAC (PRESIDENT)
(714) 761-5454
Entity
Organization
Contact information
Practice address
3111 W. ORANGE AVE. #201, ANAHEIM, CA 92804
(714) 761-5454
(714) 761-5453
Mailing address
3111 W. ORANGE AVE. #201, ANAHEIM, CA 92804
(714) 761-5454
(714) 761-5453
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC12071
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC12071
ACUPUNCTURE
CA
Enumeration date
09/09/2009
Last updated
09/09/2009
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