Provider Demographics
NPI:1194840793
Name:FENWU UNIVERSITY OF ALTERNATIVE MEDICINE
Entity Type:Organization
Organization Name:FENWU UNIVERSITY OF ALTERNATIVE MEDICINE
Other - Org Name:ALHAMBRA MEDICAL UNIVERSITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAH
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:626-458-8895
Mailing Address - Street 1:55 S RAYMOND AVE #105
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3128
Mailing Address - Country:US
Mailing Address - Phone:213-458-8805
Mailing Address - Fax:
Practice Address - Street 1:28 S PALM AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3101
Practice Address - Country:US
Practice Address - Phone:626-458-8805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7566171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty