OrganizationDodam Acupuncture Clinic IncAcupuncturistOther Service ProvidersPractice Address14642 Newport Ave Ste 105, Tustin, CA 92780-6058(714) 643-6301PECOS EnrollmentBased on the most recent information from CMS, provider Dodam Acupuncture Clinic Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1548859689Provider TypeOrganizationFull NameDodam Acupuncture Clinic IncSubpartNoEnumeration Date1/13/2021Last Updated1/13/2021Contact InformationPractice LocationPractice Address14642 Newport Ave Ste 105, Tustin, CA 92780-6058Phone(714) 643-6301FaxUnlisted FaxMailing LocationMailing Address14642 Newport Ave Ste 105, Tustin, CA 92780-6058PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameBaik, Gaseon (Ceo)Phone(714) 643-6301Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseUnlisted Issuer