Provider Demographics
NPI:1144600024
Name:POINT ACU THERAPY CORP
Entity Type:Organization
Organization Name:POINT ACU THERAPY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEIKO
Authorized Official - Middle Name:
Authorized Official - Last Name:KOMIYAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-497-0041
Mailing Address - Street 1:832 CORIANDER DR UNIT C
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-3017
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:445 W 7TH ST STE A
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90731-3216
Practice Address - Country:US
Practice Address - Phone:310-833-4598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10994261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC10994OtherCALIFORNIA ACUPUNCTURE BOARD