Provider Demographics
NPI:1629586979
Name:FAR EAST SPRING LLC
Entity Type:Organization
Organization Name:FAR EAST SPRING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:QUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIANG
Authorized Official - Suffix:
Authorized Official - Credentials:OMD, LAC
Authorized Official - Phone:480-430-8610
Mailing Address - Street 1:17641 N 41ST ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-9241
Mailing Address - Country:US
Mailing Address - Phone:480-430-8610
Mailing Address - Fax:
Practice Address - Street 1:4550 E BELL RD STE 284
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-9384
Practice Address - Country:US
Practice Address - Phone:602-393-8022
Practice Address - Fax:602-595-8664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0742171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty