Provider Demographics
NPI:1619638251
Name:BARONA ACUPUNCTURE & HERB CLINIC
Entity Type:Organization
Organization Name:BARONA ACUPUNCTURE & HERB CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-383-0007
Mailing Address - Street 1:12131 BERTHA ST
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-7520
Mailing Address - Country:US
Mailing Address - Phone:213-383-0007
Mailing Address - Fax:866-621-2931
Practice Address - Street 1:3407 W 6TH ST STE 617
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-2553
Practice Address - Country:US
Practice Address - Phone:213-383-0007
Practice Address - Fax:866-621-2931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-05
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty