Provider Demographics
NPI:1568652451
Name:AAA ACUPUNCTUER INC
Entity Type:Organization
Organization Name:AAA ACUPUNCTUER INC
Other - Org Name:XIAOLING CHAN INC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:XIAOLING
Authorized Official - Middle Name:JIANG
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-934-3300
Mailing Address - Street 1:6022 W PICO BLVD
Mailing Address - Street 2:105
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-2677
Mailing Address - Country:US
Mailing Address - Phone:310-402-6903
Mailing Address - Fax:619-934-3300
Practice Address - Street 1:6602 W.PICO BL.
Practice Address - Street 2:105
Practice Address - City:LOS ANGELES,
Practice Address - State:CA
Practice Address - Zip Code:90035-2677
Practice Address - Country:US
Practice Address - Phone:310-402-6903
Practice Address - Fax:619-934-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4470171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty