Provider Demographics
NPI:1194194571
Name:FIRST ACUPUNCTURE & HERB CENTER
Entity Type:Organization
Organization Name:FIRST ACUPUNCTURE & HERB CENTER
Other - Org Name:HOLISTIC MEDICINE & PREVENTION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-202-0063
Mailing Address - Street 1:9400 CATTARAUGUS AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-2341
Mailing Address - Country:US
Mailing Address - Phone:310-202-0063
Mailing Address - Fax:
Practice Address - Street 1:9400 CATTARAUGUS AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-2341
Practice Address - Country:US
Practice Address - Phone:310-202-0063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6401171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty