Provider Demographics
NPI:1336321801
Name:RELAX ACUPUNCTURE CLINIC
Entity Type:Organization
Organization Name:RELAX ACUPUNCTURE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC,
Authorized Official - Phone:213-687-8999
Mailing Address - Street 1:123 ASTRONAUT E S ONIZUKA ST STE 313
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-3846
Mailing Address - Country:US
Mailing Address - Phone:213-687-8999
Mailing Address - Fax:
Practice Address - Street 1:123 ASTRONAUT E S ONIZUKA ST STE 313
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-3846
Practice Address - Country:US
Practice Address - Phone:213-687-8999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10978171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty