Provider Demographics
NPI:1346732054
Name:MERIDIAN PATHWAYS ACUPUNCTURE INC.
Entity Type:Organization
Organization Name:MERIDIAN PATHWAYS ACUPUNCTURE INC.
Other - Org Name:SOPHIE N ACHEKIAN
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOPHIE
Authorized Official - Middle Name:N
Authorized Official - Last Name:ACHECKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:818-523-9313
Mailing Address - Street 1:PO BOX 27206
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-0206
Mailing Address - Country:US
Mailing Address - Phone:213-385-0675
Mailing Address - Fax:213-365-6429
Practice Address - Street 1:17401 VENTURA BLVD STE A29
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316
Practice Address - Country:US
Practice Address - Phone:818-788-6817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13033171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC13033OtherSTATE LICENSE
CA1750513453OtherINDIVIDUAL NPI