Provider Demographics
NPI:1356866347
Name:RAPHA ACUPUNCTURE
Entity Type:Organization
Organization Name:RAPHA ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:YUESE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, MPH, DAOM(C)
Authorized Official - Phone:805-234-6168
Mailing Address - Street 1:2651 E CHAPMAN AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-3738
Mailing Address - Country:US
Mailing Address - Phone:657-445-6494
Mailing Address - Fax:657-445-6495
Practice Address - Street 1:2651 E CHAPMAN AVE STE 105
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3738
Practice Address - Country:US
Practice Address - Phone:657-445-6494
Practice Address - Fax:657-445-6495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherACUPUNCTURE