Provider Demographics
NPI:1033422761
Name:ARK ACUPUNCTURE & HERB PROF. CORP.
Entity Type:Organization
Organization Name:ARK ACUPUNCTURE & HERB PROF. CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HSING
Authorized Official - Middle Name:TSENG
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:949-857-1100
Mailing Address - Street 1:22706 ASPAN ST
Mailing Address - Street 2:SUITE 504
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-1603
Mailing Address - Country:US
Mailing Address - Phone:949-857-1100
Mailing Address - Fax:949-454-2820
Practice Address - Street 1:22706 ASPAN ST
Practice Address - Street 2:SUITE 504
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-1603
Practice Address - Country:US
Practice Address - Phone:949-857-1100
Practice Address - Fax:949-454-2820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13172171100000X
CAAC13399172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No172P00000XOther Service ProvidersNaprapathGroup - Single Specialty