Provider Demographics
NPI:1518098243
Name:VALLEY ACUPUNCTURE AND HERB CENTER, INC
Entity Type:Organization
Organization Name:VALLEY ACUPUNCTURE AND HERB CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LA.C
Authorized Official - Prefix:MS
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:MINHONG
Authorized Official - Last Name:DAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-843-1558
Mailing Address - Street 1:2031 W ALAMEDA AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-2958
Mailing Address - Country:US
Mailing Address - Phone:818-843-1558
Mailing Address - Fax:818-843-3385
Practice Address - Street 1:2031 W ALAMEDA AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2958
Practice Address - Country:US
Practice Address - Phone:818-843-1558
Practice Address - Fax:818-843-3385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7755171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty