Provider Demographics
NPI:1295858611
Name:TSOY, IRINA (L AC, DIPL AC)
Entity Type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:TSOY
Suffix:
Gender:F
Credentials:L AC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1751 SILVER LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-1221
Mailing Address - Country:US
Mailing Address - Phone:323-662-3109
Mailing Address - Fax:
Practice Address - Street 1:1751 SILVER LAKE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-1221
Practice Address - Country:US
Practice Address - Phone:323-662-3109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AC9712171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist