Provider Demographics
NPI:1073034633
Name:JIA ACUPUNTURE INC.
Entity Type:Organization
Organization Name:JIA ACUPUNTURE INC.
Other - Org Name:BEIJING HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WEIHONG
Authorized Official - Middle Name:
Authorized Official - Last Name:JIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-404-4299
Mailing Address - Street 1:2301 ARTESIA BLVD. STE.6
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2301 ARTESIA BLVD STE 6
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-3100
Practice Address - Country:US
Practice Address - Phone:310-217-9088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JIA ACUPUNCTURE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-03
Last Update Date:2023-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5812261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center