Provider Demographics
NPI:1568848133
Name:RUMIN XU L.AC, PH.D. INC.
Entity Type:Organization
Organization Name:RUMIN XU L.AC, PH.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, PHD
Authorized Official - Phone:626-585-8385
Mailing Address - Street 1:260 S. LOS ROBLES AVE #108
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-3623
Mailing Address - Country:US
Mailing Address - Phone:626-585-8385
Mailing Address - Fax:
Practice Address - Street 1:260 S. LOS ROBLES AVE #108
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-3623
Practice Address - Country:US
Practice Address - Phone:626-585-8385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-06
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 4219171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty