Provider Demographics
NPI:1053840835
Name:NEW BODY ACUPUNCTURE
Entity Type:Organization
Organization Name:NEW BODY ACUPUNCTURE
Other - Org Name:NEW BODY ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURIST
Authorized Official - Phone:310-358-0276
Mailing Address - Street 1:240 S LA CIENEGA BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3313
Mailing Address - Country:US
Mailing Address - Phone:310-358-0276
Mailing Address - Fax:310-359-1464
Practice Address - Street 1:240 S LA CIENEGA BLVD STE 104
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3313
Practice Address - Country:US
Practice Address - Phone:310-358-0276
Practice Address - Fax:310-359-1464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12026261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center