Jun H Paek, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 8089 Issued in CA

Practice address

1036 E Bastanchury Rd Ste B
Fullerton, CA 92835-2794

Phone

(714) 582-2422

Fax

(714) 582-2360

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Alex Paek Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1013078211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 E BASTANCHURY RD STE B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352794",
            "telephone_number": "714-582-2422",
            "fax_number": "714-582-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 E BASTANCHURY RD STE B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352794",
            "telephone_number": "714-582-2422",
            "fax_number": "714-582-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAEK",
        "first_name": "JUN",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 8089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "PAEK",
            "prefix": "MR.",
            "credential": "L.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erika Padilla
• Rachel Padilla
• Stephanie Jasmeen Padilla
• Valerie Julyana Padilla
• Paul James Padova, DO
• Jenna Nikole Pagan
• Katheryne Lazo Paguio, RN
• Andrew K Paik
• Carol Paik, PPSC
• Charlotte Paik

• Acupuncturist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.