Provider Demographics
NPI:1598544421
Name:CENTRAL EARTH ACUPUNCTURE & CHINESE MEDICINE
Entity Type:Organization
Organization Name:CENTRAL EARTH ACUPUNCTURE & CHINESE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & PRACTIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-364-6289
Mailing Address - Street 1:98-199 KAMEHAMEHA HWY STE F3
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4820
Mailing Address - Country:US
Mailing Address - Phone:808-693-6083
Mailing Address - Fax:808-470-6344
Practice Address - Street 1:98-199 KAMEHAMEHA HWY STE F3
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4820
Practice Address - Country:US
Practice Address - Phone:808-693-6083
Practice Address - Fax:808-470-6344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty