Provider Demographics
NPI:1275232696
Name:BALANCE CARE ACUPUNCTURE & HERBS
Entity Type:Organization
Organization Name:BALANCE CARE ACUPUNCTURE & HERBS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KUEI HUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:LU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:909-666-0884
Mailing Address - Street 1:13801 ROSWELL AVE STE A
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-5466
Mailing Address - Country:US
Mailing Address - Phone:909-666-0884
Mailing Address - Fax:909-257-8970
Practice Address - Street 1:13801 ROSWELL AVE STE A
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-5466
Practice Address - Country:US
Practice Address - Phone:909-666-0884
Practice Address - Fax:909-257-8970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty