Provider Demographics
NPI:1609932714
Name:COLBY INFORMATION CENTER OF SCIENCE & CULTURE
Entity Type:Organization
Organization Name:COLBY INFORMATION CENTER OF SCIENCE & CULTURE
Other - Org Name:INSTITUTE OF ALTERNATIVE MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:XU PING
Authorized Official - Middle Name:
Authorized Official - Last Name:GU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-609-9888
Mailing Address - Street 1:613 S VECINO DR
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-3663
Mailing Address - Country:US
Mailing Address - Phone:626-339-7668
Mailing Address - Fax:818-609-7288
Practice Address - Street 1:5620 WILBUR AVE
Practice Address - Street 2:SUITE 214
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-1351
Practice Address - Country:US
Practice Address - Phone:818-609-9888
Practice Address - Fax:818-609-7288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5731171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty