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Plum Familee Acupuncture

Acupuncturist

Other Service Providers

18102 Irvine Blvd Ste 209, Tustin, CA 92780-3424

PECOS Enrollment

Based on the most recent information from CMS, provider Plum Familee Acupuncture does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1972904258
Provider Type
Organization
Full Name
Plum Familee Acupuncture

Subpart
No
Enumeration Date
9/5/2014
Last Updated
2/24/2015

Contact Information

Practice Location

18102 Irvine Blvd Ste 209, Tustin, CA 92780-3424

(714) 340-5133

Unlisted Fax

Mailing Location

18102 Irvine Blvd Ste 209, Tustin, CA 92780-3424

(714) 340-5133

Unlisted Fax

Authorized Official

Lee, Soon Min (Owner)

(714) 340-5133

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License AC16107 California

Plum Familee Acupuncture

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Soo Health Care, Inc.

Lajevardi, Naghmeh

Lee, Christine Jieun

Chung, Boyoung

Park, Rack Joon

Yang, Ger Richard

Summit Acupuncture & Herbs

Park, Se Ryung

Almassi, Negin

Eastern Medical Group, Inc.