Individual ProviderJoshua BaeAcupuncturistOther Service ProvidersPractice Address14642 Newport Ave., #105, Tustin, CA 92780(323) 735-5011PECOS EnrollmentBased on the most recent information from CMS, provider Joshua Bae 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 ID1689835530Provider TypeIndividualFull NameBae, JoshuaCredentialL.AC.GenderMaleSole ProprietorYesEnumeration Date6/23/2008Last Updated5/28/2021Contact InformationPractice LocationPractice Address14642 Newport Ave., #105, Tustin, CA 92780Phone(323) 735-5011Fax(323) 735-5630Mailing LocationMailing Address14642 Newport Ave., #105, Tustin, CA 92780Phone(323) 735-5011Fax(323) 735-5630Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC12071CaliforniaProvider IdentifiersIDDescriptionIssuerIDAC12071DescriptionOtherIssuerAC12071California