Provider Demographics
NPI:1043482565
Name:DELANO ACUPUNCTURE & CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:DELANO ACUPUNCTURE & CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHUN
Authorized Official - Middle Name:WOO
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LAC
Authorized Official - Phone:661-721-1234
Mailing Address - Street 1:P.O. BOX 1216
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93216-2551
Mailing Address - Country:US
Mailing Address - Phone:661-721-1234
Mailing Address - Fax:661-721-1224
Practice Address - Street 1:1224 JEFFERSON STREET
Practice Address - Street 2:#3
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-2251
Practice Address - Country:US
Practice Address - Phone:661-721-1234
Practice Address - Fax:661-721-1221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111N00000X
CADC23042111N00000X
CALAC9240171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty