Provider Demographics
NPI:1598066581
Name:ICHIMI DOUSHIN RESOURCES, INC.
Entity Type:Organization
Organization Name:ICHIMI DOUSHIN RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:XAVIER
Authorized Official - Middle Name:JAJIN
Authorized Official - Last Name:HSIEH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:626-581-1282
Mailing Address - Street 1:18605 GALE AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1361
Mailing Address - Country:US
Mailing Address - Phone:626-581-1282
Mailing Address - Fax:888-491-5175
Practice Address - Street 1:18605 GALE AVE STE 240
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91748-1361
Practice Address - Country:US
Practice Address - Phone:626-581-1282
Practice Address - Fax:888-491-5175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care