Provider Demographics
NPI:1861823874
Name:FIRSONS INC
Entity Type:Organization
Organization Name:FIRSONS INC
Other - Org Name:IRVINE ACUHEALING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOON JUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC PHD
Authorized Official - Phone:949-697-8582
Mailing Address - Street 1:40 SANTA CATALINA AISLE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-0860
Mailing Address - Country:US
Mailing Address - Phone:949-697-8582
Mailing Address - Fax:
Practice Address - Street 1:4330 BARRANCA PKWY
Practice Address - Street 2:STE #232
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4755
Practice Address - Country:US
Practice Address - Phone:949-697-8582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13550171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty