Provider Demographics
NPI:1265004311
Name:VILLAGE HOPE ACUPUNCTURE & HERBS, INC.
Entity Type:Organization
Organization Name:VILLAGE HOPE ACUPUNCTURE & HERBS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUN P
Authorized Official - Middle Name:
Authorized Official - Last Name:SZN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:323-702-8829
Mailing Address - Street 1:4149 W. PICO BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90019
Mailing Address - Country:US
Mailing Address - Phone:323-702-8829
Mailing Address - Fax:
Practice Address - Street 1:4149 W. PICO BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019
Practice Address - Country:US
Practice Address - Phone:323-702-8829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VILLAGE HOPE ACUPUNCTURE & HERBS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty