Provider Demographics
NPI:1114331584
Name:CENTER FOR ACUPUNCTURE AND NATURAL MEDICINE INC.
Entity Type:Organization
Organization Name:CENTER FOR ACUPUNCTURE AND NATURAL MEDICINE INC.
Other - Org Name:CENTER FOR ACUPUNCTURE AND INTEGRATIVE MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:E
Authorized Official - Last Name:WEI
Authorized Official - Suffix:
Authorized Official - Credentials:DOM, AP
Authorized Official - Phone:818-571-7296
Mailing Address - Street 1:668 N ORLANDO AVE
Mailing Address - Street 2:STE 1018
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4473
Mailing Address - Country:US
Mailing Address - Phone:818-571-7296
Mailing Address - Fax:
Practice Address - Street 1:668 N ORLANDO AVE
Practice Address - Street 2:STE 1018
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4473
Practice Address - Country:US
Practice Address - Phone:818-571-7296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center