Taek Soo Jung, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

11604 Issued in CA

Practice address

415 N El Camino Real
None
San Clemente, CA 92672-4718

Phone

(213) 327-5616

NPI assigned

Jul 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vaughn Sun Inc.

  • Acupuncturist
  • San Clemente, CA
  • NPI 1164713665
  NPD (past) Authorized official

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1023218989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N EL CAMINO REAL",
            "address_2": "NONE",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724718",
            "telephone_number": "213-327-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N EL CAMINO REAL",
            "address_2": "NONE",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724718",
            "telephone_number": "213-327-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "TAEK SOO",
        "name_prefix": "Mr.",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Jones
• Joomo Yang, MD., Inc.
• Christine Craft Joseph, RN, RNFA
• Peter Jonathan Joson, M.D.
• Julie Newell Marriage and Family Therapy, Inc.
• K4 Innovations LLC
• Helen Tache Kabbani, D.P.T.
• Sofia Kabir
• Alin Kabounian
• Darshana Rajesh Kadakia, MD

• Acupuncturist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.