Provider Demographics
NPI:1669856563
Name:7 LEAF CLOVER CORPORATION
Entity Type:Organization
Organization Name:7 LEAF CLOVER CORPORATION
Other - Org Name:ACUPUNCTURE & HERBS PAIN MANAGEMENT OF WEST COVINA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:MINGXIA
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-290-1793
Mailing Address - Street 1:1414 S AZUSA AVE
Mailing Address - Street 2:SUITE B-5
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-4088
Mailing Address - Country:US
Mailing Address - Phone:877-341-7570
Mailing Address - Fax:626-918-5403
Practice Address - Street 1:1414 S AZUSA AVE
Practice Address - Street 2:SUITE B-5
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-4088
Practice Address - Country:US
Practice Address - Phone:877-341-7570
Practice Address - Fax:626-918-5403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-10
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16360171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty