Provider Demographics
NPI:1568070670
Name:FUSHIMI BALANCE ACUPUNCTURE
Entity Type:Organization
Organization Name:FUSHIMI BALANCE ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:YURIKO
Authorized Official - Middle Name:
Authorized Official - Last Name:FUSHIMI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:714-838-8931
Mailing Address - Street 1:2203 E OLMSTEAD WAY
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-4642
Mailing Address - Country:US
Mailing Address - Phone:626-233-9957
Mailing Address - Fax:
Practice Address - Street 1:14151 NEWPORT AVE STE 102
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-5174
Practice Address - Country:US
Practice Address - Phone:714-838-8931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty