Provider Demographics
NPI:1407063753
Name:ACU-MEDI PROFESSIONAL ASSOCIATE, PC
Entity Type:Organization
Organization Name:ACU-MEDI PROFESSIONAL ASSOCIATE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:HYOK
Authorized Official - Middle Name:CHAN
Authorized Official - Last Name:YI
Authorized Official - Suffix:
Authorized Official - Credentials:L AC, PH D
Authorized Official - Phone:703-658-5100
Mailing Address - Street 1:7002 LITTLE RIVER TPKE
Mailing Address - Street 2:SUITE I
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3200
Mailing Address - Country:US
Mailing Address - Phone:703-658-5100
Mailing Address - Fax:703-916-1717
Practice Address - Street 1:7002 LITTLE RIVER TPKE
Practice Address - Street 2:SUITE I
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3200
Practice Address - Country:US
Practice Address - Phone:703-658-5100
Practice Address - Fax:703-916-1717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555880111N00000X
VA0121000325171100000X
CAAC5085171100000X
MDU01322171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty