Provider Demographics
NPI:1578997367
Name:BODY-MIND ACUITY, INC.
Entity Type:Organization
Organization Name:BODY-MIND ACUITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:Q
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:619-993-9297
Mailing Address - Street 1:4815 ALZEDA DR
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-5718
Mailing Address - Country:US
Mailing Address - Phone:619-993-9297
Mailing Address - Fax:
Practice Address - Street 1:3627 EUGENE PL
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-1931
Practice Address - Country:US
Practice Address - Phone:619-993-9297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15515171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty