Provider Demographics
NPI:1740581800
Name:FAMILY MEDICINE & ACUPUNCTURE, LLC
Entity Type:Organization
Organization Name:FAMILY MEDICINE & ACUPUNCTURE, LLC
Other - Org Name:WEI GUO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WEI
Authorized Official - Middle Name:
Authorized Official - Last Name:GUO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-464-4141
Mailing Address - Street 1:527 W ESPLANADE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2568
Mailing Address - Country:US
Mailing Address - Phone:504-464-4141
Mailing Address - Fax:504-464-5931
Practice Address - Street 1:527 W ESPLANADE AVE STE 100
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2568
Practice Address - Country:US
Practice Address - Phone:504-464-4141
Practice Address - Fax:504-464-5931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD203584261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care