Provider Demographics
NPI:1811406325
Name:ALPHA THERAPY INC.
Entity Type:Organization
Organization Name:ALPHA THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KWAN
Authorized Official - Middle Name:WOO
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:949-533-6699
Mailing Address - Street 1:7112 SPECTRUM
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618
Mailing Address - Country:US
Mailing Address - Phone:949-533-6699
Mailing Address - Fax:949-315-3461
Practice Address - Street 1:17911 SKY PARK CIR
Practice Address - Street 2:STE M
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614
Practice Address - Country:US
Practice Address - Phone:949-533-6699
Practice Address - Fax:949-315-3461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-27
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty