Provider Demographics
NPI:1598034670
Name:ASIAN HEALING ARTS CENTER
Entity Type:Organization
Organization Name:ASIAN HEALING ARTS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARJI
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:AP DOM
Authorized Official - Phone:786-385-8629
Mailing Address - Street 1:4800 NE 20TH TER
Mailing Address - Street 2:SUITE 201S
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4510
Mailing Address - Country:US
Mailing Address - Phone:786-385-8629
Mailing Address - Fax:
Practice Address - Street 1:4800 NE 20TH TER
Practice Address - Street 2:SUITE 201S
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4510
Practice Address - Country:US
Practice Address - Phone:786-385-8629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty