Provider Demographics
NPI:1821203829
Name:HIROYUKI NAKAMURA ACUPUNCTURE CORPORATION
Entity Type:Organization
Organization Name:HIROYUKI NAKAMURA ACUPUNCTURE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HIROYUKI NAKAMURA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKAMURA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:714-891-7022
Mailing Address - Street 1:15541 BEACH BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-7114
Mailing Address - Country:US
Mailing Address - Phone:714-891-7022
Mailing Address - Fax:
Practice Address - Street 1:15541 BEACH BLVD STE B
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-7114
Practice Address - Country:US
Practice Address - Phone:714-891-7022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 10102171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty