Jungrim Furukawa

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

18125 Issued in CA

Practice address

31900 Mission TRL Ste 225
Lake Elsinore, CA 92530-4550

Phone

(951) 674-5698

Fax

(951) 674-5698

NPI assigned

Aug 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Healing Tree & Wellness Center Inc

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1356703789
  NPD (past)

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1558843151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31900 MISSION TRL STE 225",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304550",
            "telephone_number": "951-674-5698",
            "fax_number": "951-389-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31900 MISSION TRL STE 225",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304550",
            "telephone_number": "951-674-5698",
            "fax_number": "951-674-5698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3975 Jackson St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "92503",
            "country_code": "US",
            "telephone_number": "951-351-2377",
            "fax_number": "951-351-2378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 Navajo Rd",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925701734",
            "country_code": "US",
            "telephone_number": "714-305-7354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURUKAWA",
        "first_name": "JUNGRIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18125",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Leigh Freese, CMT
• Yanel Fregoso
• Deanna French
• Juan Carlo Fruto
• Latasha Fuller
• Ashley E Gaboury
• Lourdes Patricia Gabucan, AMFT
• Amanda Nicole Gaddis
• Christopher Michael Galles, RADT
• Ismael Salgado Gallo, PHYSICAL THERAPIST

• Acupuncturist in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.