Provider Demographics
NPI:1508450701
Name:CIJI BARLOW ACUPUNCTURE, A. PROF. CORP.
Entity Type:Organization
Organization Name:CIJI BARLOW ACUPUNCTURE, A. PROF. CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CIJI
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:760-447-3630
Mailing Address - Street 1:4422 W 172ND ST APT 1
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-3492
Mailing Address - Country:US
Mailing Address - Phone:760-447-8363
Mailing Address - Fax:
Practice Address - Street 1:23440 HAWTHORNE BLVD STE 280
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4751
Practice Address - Country:US
Practice Address - Phone:310-434-9744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-27
Last Update Date:2021-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty