1306238365 NPI number — TENG'S ACUPUNCTURE MEDICINE,INC.

Table of content: DELMY ANTONIA MACHADO ZARABOZO (NPI 1760055859)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306238365 NPI number — TENG'S ACUPUNCTURE MEDICINE,INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TENG'S ACUPUNCTURE MEDICINE,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:
1306238365
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9626 SMOKE TREE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FOUNTAIN VALLEY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92708-7260
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-843-6465
Provider Business Mailing Address Fax Number:
714-843-6468

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18821 DELAWARE ST
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
HUNTINGTON BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92648-1926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-843-6465
Provider Business Practice Location Address Fax Number:
714-843-6468
Provider Enumeration Date:
02/28/2015

Additional Information

Authorized Official

Authorized Official Last Name:
TENG
Authorized Official First Name:
LEEKONG
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
714-843-6465

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  AC 15512 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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