1629350533 NPI number — HAPPY VALLEY ACUPUNCTURE & HERBAL CENTER, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629350533 NPI number — HAPPY VALLEY ACUPUNCTURE & HERBAL CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAPPY VALLEY ACUPUNCTURE & HERBAL CENTER, 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:
6
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:
1629350533
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/09/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17595 ALMAHUST RD.
Provider Second Line Business Mailing Address:
SUITE # 230
Provider Business Mailing Address City Name:
CITY OF INDUSTRY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91748
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-839-5697
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17595 ALMAHURST ST STE 230
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CITY OF INDUSTRY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91748-1799
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-839-5697
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/16/2011

Additional Information

Authorized Official

Authorized Official Last Name:
WANG
Authorized Official First Name:
BOB
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
626-839-5697

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  AC14145 , 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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