Provider Demographics
NPI:1326207119
Name:TEVY A HYSELL ACUPUNCTURE INC
Entity Type:Organization
Organization Name:TEVY A HYSELL ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TEVY
Authorized Official - Middle Name:ARUNSON
Authorized Official - Last Name:HYSELL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:559-875-1970
Mailing Address - Street 1:2514 JENSEN AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:CA
Mailing Address - Zip Code:93657-2250
Mailing Address - Country:US
Mailing Address - Phone:559-875-1970
Mailing Address - Fax:
Practice Address - Street 1:2514 JENSEN AVE STE 103
Practice Address - Street 2:
Practice Address - City:SANGER
Practice Address - State:CA
Practice Address - Zip Code:93657-2250
Practice Address - Country:US
Practice Address - Phone:559-875-1970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty