JAE JOO LAC
NPI 1093243875
Acupuncturist in Fullerton, CA

Active since May 24, 2017
670 E COMMONWEALTH AVE STE A, FULLERTON, CA 92831(714) 886-9836 Get Directions Write a Review

NPPES record last updated: March 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 28, 2020, Apr 15, 2019, May 26, 2017 (3 updates tracked since 2017).

About Jae Joo Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAE JOO LAC (NPI 1093243875) is an individual acupuncturist in Fullerton, California, licensed in California (AC17522) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1093243875
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameJAE JOOCredential: LAC
Location Address670 E COMMONWEALTH AVE STE AFullerton, CA 92831-4514
Mailing Address670 E Commonwealth Ave Ste AFullerton, CA 92831-4514 · (714) 886-9836
Sole ProprietorYes
Enumeration DateMay 24, 2017
Last NPPES UpdateMarch 28, 20203 updates tracked since enumeration
NPPES CertifiedMarch 28, 2020
NPI 1093243875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in CA · AC17522
Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

670 E COMMONWEALTH AVE STE A, Fullerton, CA 92831

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093243875, enumerated as an "individual" on May 24, 2017.

The provider is located at 670 E COMMONWEALTH AVE STE A FULLERTON, CA 92831 and the phone number is (714) 886-9836.

Acupuncturist with taxonomy code 171100000X.