Provider Demographics
NPI:1841799442
Name:EAST ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:EAST ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JING
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-396-7528
Mailing Address - Street 1:304 ANDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-1840
Mailing Address - Country:US
Mailing Address - Phone:240-396-7528
Mailing Address - Fax:
Practice Address - Street 1:8290 OLD COURTHOUSE RD STE A
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3837
Practice Address - Country:US
Practice Address - Phone:240-396-7528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-08
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1841799442OtherACUPUNCTURIST
1326503715OtherACUPUNCTURIST