Provider Demographics
NPI:1073902565
Name:BH ACUHEALTH CLINIC INC
Entity Type:Organization
Organization Name:BH ACUHEALTH CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MITRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANESHRAD
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:310-659-3870
Mailing Address - Street 1:206 S ROBERTSON BLVD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2811
Mailing Address - Country:US
Mailing Address - Phone:310-659-3870
Mailing Address - Fax:310-289-9863
Practice Address - Street 1:206 S ROBERTSON BLVD
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2811
Practice Address - Country:US
Practice Address - Phone:310-659-3870
Practice Address - Fax:310-289-9863
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 Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty