Provider Demographics
NPI:1063684843
Name:MARIN L. KOKIN, L.AC. INC
Entity Type:Organization
Organization Name:MARIN L. KOKIN, L.AC. INC
Other - Org Name:KOKIN HEALING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:KOKIN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:818-456-4393
Mailing Address - Street 1:23603 PARK SORRENTO STE 101
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1326
Mailing Address - Country:US
Mailing Address - Phone:818-456-4393
Mailing Address - Fax:818-456-4345
Practice Address - Street 1:23603 PARK SORRENTO STE 101
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1326
Practice Address - Country:US
Practice Address - Phone:818-456-4393
Practice Address - Fax:818-456-4345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty