1659582088 NPI number — DINGS ACUPUNCTURE INC

Table of content: (NPI 1659582088)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659582088 NPI number — DINGS ACUPUNCTURE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DINGS ACUPUNCTURE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659582088
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/21/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 602
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WALNUT
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91788-0602
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-967-1410
Provider Business Mailing Address Fax Number:
815-346-3387

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19753 VALLEY BL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WALNUT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91789
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-967-1410
Provider Business Practice Location Address Fax Number:
815-346-3387
Provider Enumeration Date:
05/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DING
Authorized Official First Name:
QIN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
909-967-1410

Provider Taxonomy Codes

  • Taxonomy code: 171100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: AC0049790 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: CA0049790 . This is a "BLUE SHIELD OF CALIFORNIA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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