Provider Demographics
NPI:1447415559
Name:X'S ACUPUNCTURE AND HERB
Entity Type:Organization
Organization Name:X'S ACUPUNCTURE AND HERB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MING
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHAO
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURIST
Authorized Official - Phone:626-359-7808
Mailing Address - Street 1:1740 HUNTINGTON DR STE 102
Mailing Address - Street 2:
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-3850
Mailing Address - Country:US
Mailing Address - Phone:626-359-7808
Mailing Address - Fax:
Practice Address - Street 1:1740 HUNTINGTON DR STE 102
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-3850
Practice Address - Country:US
Practice Address - Phone:626-359-7808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3033509171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty