Provider Demographics
NPI:1639836752
Name:SAAM ACUPUNCTURE & PAIN CLINIC
Entity Type:Organization
Organization Name:SAAM ACUPUNCTURE & PAIN CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:
Authorized Official - Last Name:YI
Authorized Official - Suffix:
Authorized Official - Credentials:OMD, LAC
Authorized Official - Phone:571-344-9500
Mailing Address - Street 1:14631 LEE HWY STE 114
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-5825
Mailing Address - Country:US
Mailing Address - Phone:703-825-7130
Mailing Address - Fax:703-825-7131
Practice Address - Street 1:14631 LEE HWY STE 114
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-5825
Practice Address - Country:US
Practice Address - Phone:703-825-7130
Practice Address - Fax:703-825-7131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty