Provider Demographics
NPI:1710359641
Name:INSARANG CORPORATION
Entity Type:Organization
Organization Name:INSARANG CORPORATION
Other - Org Name:INSARANG ACUPUNCTURE AND HERBS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:DAL
Authorized Official - Middle Name:SOO
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-658-2222
Mailing Address - Street 1:6926 LITTLE RIVER TPKE STE A
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3246
Mailing Address - Country:US
Mailing Address - Phone:703-658-2222
Mailing Address - Fax:703-658-9499
Practice Address - Street 1:6926 LITTLE RIVER TPKE STE A
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3246
Practice Address - Country:US
Practice Address - Phone:703-658-2222
Practice Address - Fax:703-658-9499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000304171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty