Provider Demographics
NPI:1891034815
Name:FIRST ACU & HERB CLINIC, LLC
Entity Type:Organization
Organization Name:FIRST ACU & HERB CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PING
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:702-220-4202
Mailing Address - Street 1:5288 SPRING MOUNTAIN RD STE 250
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-8735
Mailing Address - Country:US
Mailing Address - Phone:702-220-4202
Mailing Address - Fax:702-220-4205
Practice Address - Street 1:5288 SPRING MOUNTAIN RD STE 250
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-8735
Practice Address - Country:US
Practice Address - Phone:702-220-4202
Practice Address - Fax:702-220-4205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1041171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty