Provider Demographics
NPI:1790279347
Name:OWENS VALLEY ACUPUNCTURE
Entity Type:Organization
Organization Name:OWENS VALLEY ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:DACM, LAC
Authorized Official - Phone:760-920-6162
Mailing Address - Street 1:162 E LINE ST STE A
Mailing Address - Street 2:
Mailing Address - City:BISHOP
Mailing Address - State:CA
Mailing Address - Zip Code:93514-3557
Mailing Address - Country:US
Mailing Address - Phone:760-920-6162
Mailing Address - Fax:
Practice Address - Street 1:162 E LINE ST STE A
Practice Address - Street 2:
Practice Address - City:BISHOP
Practice Address - State:CA
Practice Address - Zip Code:93514-3557
Practice Address - Country:US
Practice Address - Phone:760-920-6162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty