Provider Demographics
NPI:1174659908
Name:NATIONAL SCIENCE OF HUMAN LIFE INSTITUTE
Entity Type:Organization
Organization Name:NATIONAL SCIENCE OF HUMAN LIFE INSTITUTE
Other - Org Name:UBC MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:626-281-2258
Mailing Address - Street 1:425 S GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3838
Mailing Address - Country:US
Mailing Address - Phone:626-281-2258
Mailing Address - Fax:626-281-3328
Practice Address - Street 1:425 S GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3838
Practice Address - Country:US
Practice Address - Phone:626-284-7498
Practice Address - Fax:626-281-3328
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL SCIENCE OF HUMAN LIFE INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-26
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC1595171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty