1619481181 NPI number — ACUPUNCTURE BEAUTIFIER WELLNESS INC

Table of content: (NPI 1619481181)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619481181 NPI number — ACUPUNCTURE BEAUTIFIER WELLNESS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACUPUNCTURE BEAUTIFIER WELLNESS 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:
1619481181
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/20/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15137 GUNDRY AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PARAMOUNT
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90723-3963
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-422-8568
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
860 E LA HABRA BLVD STE 110
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LA HABRA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90631-0817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-383-7755
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/20/2017

Additional Information

Authorized Official

Authorized Official Last Name:
CHANG
Authorized Official First Name:
JOLING
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
562-383-7755

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  15293 , 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)

  • Identifier: 1285070912 . This is a "ACUPUNCTURE" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com