Provider Demographics
NPI:1689395097
Name:PURE POINT ACUPUNCTURE INC
Entity Type:Organization
Organization Name:PURE POINT ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:MYOUNGWOO
Authorized Official - Last Name:KANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:484-557-9500
Mailing Address - Street 1:204 CYPRESS POINT PL
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-1285
Mailing Address - Country:US
Mailing Address - Phone:484-557-9500
Mailing Address - Fax:
Practice Address - Street 1:204 CYPRESS POINT PL
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1285
Practice Address - Country:US
Practice Address - Phone:484-557-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty