Provider Demographics
NPI:1508183724
Name:NEW WORLD ACUPUNCTURE,INC
Entity Type:Organization
Organization Name:NEW WORLD ACUPUNCTURE,INC
Other - Org Name:ADVANCED HEALING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SOLMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROH
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:714-535-1727
Mailing Address - Street 1:710 S BROOKHURST ST
Mailing Address - Street 2:#M
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-4321
Mailing Address - Country:US
Mailing Address - Phone:714-496-3867
Mailing Address - Fax:
Practice Address - Street 1:710 S BROOKHURST ST
Practice Address - Street 2:#M
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-4321
Practice Address - Country:US
Practice Address - Phone:714-535-1717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12424261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1477711034OtherACUPUNCTURIST