Provider Demographics
NPI:1609010255
Name:YUEN ACUPUNCTURE, INC.
Entity Type:Organization
Organization Name:YUEN ACUPUNCTURE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:YUEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-792-1003
Mailing Address - Street 1:112 E OLIVE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5281
Mailing Address - Country:US
Mailing Address - Phone:909-792-1003
Mailing Address - Fax:
Practice Address - Street 1:112 E OLIVE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5281
Practice Address - Country:US
Practice Address - Phone:909-792-1003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain