Provider Demographics
NPI:1821434010
Name:YX MEDICAL GROUP INC
Entity Type:Organization
Organization Name:YX MEDICAL GROUP INC
Other - Org Name:AC HEALTH CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:XIAOMING
Authorized Official - Middle Name:
Authorized Official - Last Name:ANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-530-5678
Mailing Address - Street 1:4305 TORRANCE BLVD
Mailing Address - Street 2:STE 306
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4409
Mailing Address - Country:US
Mailing Address - Phone:310-530-5678
Mailing Address - Fax:310-370-1206
Practice Address - Street 1:4305 TORRANCE BLVD
Practice Address - Street 2:STE 306
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4409
Practice Address - Country:US
Practice Address - Phone:310-530-5678
Practice Address - Fax:310-370-1206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8554171100000X
CAG33010207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty