Provider Demographics
NPI:1073902508
Name:DRUM ACUPUNCTURE CENTER
Entity Type:Organization
Organization Name:DRUM ACUPUNCTURE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHINESE MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:DRUM
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM, LAC
Authorized Official - Phone:916-941-8880
Mailing Address - Street 1:4944 WINDPLAY DR
Mailing Address - Street 2:SUITE 360
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-9688
Mailing Address - Country:US
Mailing Address - Phone:916-941-8880
Mailing Address - Fax:267-219-6230
Practice Address - Street 1:4944 WINDPLAY DR
Practice Address - Street 2:SUITE 360
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9688
Practice Address - Country:US
Practice Address - Phone:916-941-8880
Practice Address - Fax:267-219-6230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC9213171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty