Provider Demographics
NPI:1336504414
Name:CY ACUPUNCTURE WELLNESS CENTER
Entity Type:Organization
Organization Name:CY ACUPUNCTURE WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TING FANG CHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MADRINAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-831-8010
Mailing Address - Street 1:23361 EL TORO RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-6922
Mailing Address - Country:US
Mailing Address - Phone:949-679-1919
Mailing Address - Fax:
Practice Address - Street 1:23361 EL TORO RD
Practice Address - Street 2:SUITE 108
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-6922
Practice Address - Country:US
Practice Address - Phone:949-679-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain