Provider Demographics
NPI:1629424668
Name:WEST ACUPUNCTURE
Entity Type:Organization
Organization Name:WEST ACUPUNCTURE
Other - Org Name:MIDASKAN,INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:HAE
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-436-8881
Mailing Address - Street 1:57 LONG BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-4804
Mailing Address - Country:US
Mailing Address - Phone:562-436-8881
Mailing Address - Fax:562-436-8886
Practice Address - Street 1:57 LONG BEACH BLVD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-4804
Practice Address - Country:US
Practice Address - Phone:562-436-8881
Practice Address - Fax:562-436-8886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-09
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10765171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty