Provider Demographics
NPI:1518573864
Name:YI'S ACUPUNCTURE CLINIC,INC.
Entity Type:Organization
Organization Name:YI'S ACUPUNCTURE CLINIC,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:
Authorized Official - First Name:YOUNG
Authorized Official - Middle Name:C
Authorized Official - Last Name:YI
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:703-622-1750
Mailing Address - Street 1:4216 EVERGREEN LN STE 112
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3253
Mailing Address - Country:US
Mailing Address - Phone:703-256-0330
Mailing Address - Fax:703-256-0337
Practice Address - Street 1:4216 EVERGREEN LN STE 112
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3253
Practice Address - Country:US
Practice Address - Phone:703-256-0330
Practice Address - Fax:703-256-0337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service