Provider Demographics
NPI:1609274356
Name:YENS MEDICAL INC.
Entity Type:Organization
Organization Name:YENS MEDICAL INC.
Other - Org Name:YENS ACUPUNCTURE & TCM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:XIAOLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-595-2199
Mailing Address - Street 1:4799 WALBERN CT
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-2255
Mailing Address - Country:US
Mailing Address - Phone:703-595-2199
Mailing Address - Fax:703-595-2198
Practice Address - Street 1:14106 ROBERT PARIS CT
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-4205
Practice Address - Country:US
Practice Address - Phone:703-595-2199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121-000742261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service