Provider Demographics
NPI:1356818850
Name:ANSHIM ACUPUNCTURE INC
Entity Type:Organization
Organization Name:ANSHIM ACUPUNCTURE INC
Other - Org Name:ANSHIM CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:KYUHWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:213-352-7678
Mailing Address - Street 1:252 S SERRANO AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-5289
Mailing Address - Country:US
Mailing Address - Phone:213-352-7678
Mailing Address - Fax:
Practice Address - Street 1:4501 ALAMEDA ST.
Practice Address - Street 2:#107B #115
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057
Practice Address - Country:US
Practice Address - Phone:213-352-7678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty