Provider Demographics
NPI:1114207842
Name:REGAL ACUPUNCTURE CLINIC INC
Entity Type:Organization
Organization Name:REGAL ACUPUNCTURE CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JEON
Authorized Official - Middle Name:HEE
Authorized Official - Last Name:JANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:415-834-9198
Mailing Address - Street 1:490 POST ST STE 544
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1412
Mailing Address - Country:US
Mailing Address - Phone:415-834-9198
Mailing Address - Fax:925-254-1119
Practice Address - Street 1:490 POST ST STE 544
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1412
Practice Address - Country:US
Practice Address - Phone:415-834-9198
Practice Address - Fax:925-254-1119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty