Provider Demographics
NPI:1497091680
Name:VIRGINIA UNIVERSITY OF INTEGRATIVE MEDICINE
Entity Type:Organization
Organization Name:VIRGINIA UNIVERSITY OF INTEGRATIVE MEDICINE
Other - Org Name:VIRGINIA UNIVERSITY OF ORIENTAL MEDICINE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:FINANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:YOOMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-323-5690
Mailing Address - Street 1:1980 GALLOWS RD STE 220
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3913
Mailing Address - Country:US
Mailing Address - Phone:703-323-5690
Mailing Address - Fax:
Practice Address - Street 1:1980 GALLOWS RD STE 220
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3913
Practice Address - Country:US
Practice Address - Phone:703-323-5690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty