Provider Demographics
NPI:1073678348
Name:NANJING ACUPUNCTURE CLINIC, INC.
Entity Type:Organization
Organization Name:NANJING ACUPUNCTURE CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MING
Authorized Official - Middle Name:
Authorized Official - Last Name:KUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-402-6827
Mailing Address - Street 1:16425 PIONEER BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-7057
Mailing Address - Country:US
Mailing Address - Phone:562-402-6827
Mailing Address - Fax:
Practice Address - Street 1:16425 PIONEER BLVD STE 104
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-7057
Practice Address - Country:US
Practice Address - Phone:562-402-6827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 4540171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty