1023581519 NPI number — RUYI LOUIE ACUPUNCTURE INTEGRATIVE MEDICINE CORP

Table of content: (NPI 1023581519)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023581519 NPI number — RUYI LOUIE ACUPUNCTURE INTEGRATIVE MEDICINE CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RUYI LOUIE ACUPUNCTURE INTEGRATIVE MEDICINE CORP
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:
RUYI ACUPUNCTURE INTEGRATIVE MEDICINE CLINIC
Provider Other Organization Name Type Code:
3
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:
1023581519
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
907 S EVANWOOD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST COVINA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91790-3920
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-490-4913
Provider Business Mailing Address Fax Number:
626-226-5562

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
612 W DUARTE RD STE 105
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARCADIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91007-9222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-490-4913
Provider Business Practice Location Address Fax Number:
626-226-5562
Provider Enumeration Date:
01/07/2019

Additional Information

Authorized Official

Authorized Official Last Name:
LU
Authorized Official First Name:
LOUIE
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
909-490-4913

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)





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