Provider Demographics
NPI:1114466018
Name:ADVANCED ACUPUNCTURE AND HEALING, INC.
Entity Type:Organization
Organization Name:ADVANCED ACUPUNCTURE AND HEALING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC PHD
Authorized Official - Phone:760-832-7585
Mailing Address - Street 1:40055 BOB HOPE DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3937
Mailing Address - Country:US
Mailing Address - Phone:760-832-7585
Mailing Address - Fax:
Practice Address - Street 1:40055 BOB HOPE DR
Practice Address - Street 2:SUITE H
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3937
Practice Address - Country:US
Practice Address - Phone:760-832-7585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16316171100000X
CAAC16790171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty