Provider Demographics
NPI:1710283809
Name:YANG'S ACUPUNCTURE AND HERBAL CENTER, INC.
Entity Type:Organization
Organization Name:YANG'S ACUPUNCTURE AND HERBAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AP
Authorized Official - Prefix:MRS
Authorized Official - First Name:XIAOYING
Authorized Official - Middle Name:
Authorized Official - Last Name:AN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-522-6425
Mailing Address - Street 1:1051 SE 17TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-2116
Mailing Address - Country:US
Mailing Address - Phone:954-522-6425
Mailing Address - Fax:
Practice Address - Street 1:1051 SE 17TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-2116
Practice Address - Country:US
Practice Address - Phone:954-522-6425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1932171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty