Provider Demographics
NPI:1861538530
Name:JING, WEI (LAC)
Entity type:Individual
Prefix:
First Name:WEI
Middle Name:
Last Name:JING
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:WEI
Other - Middle Name:
Other - Last Name:JING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:PO BOX 5791
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92616-5791
Mailing Address - Country:US
Mailing Address - Phone:949-725-9810
Mailing Address - Fax:949-281-6291
Practice Address - Street 1:23361 EL TORO RD STE 101
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-4810
Practice Address - Country:US
Practice Address - Phone:949-725-9810
Practice Address - Fax:949-281-6291
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6932171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist