Provider Demographics
NPI:1922367739
Name:ORIENTAL MEDICAL ARTS & ACUPUNCTURE
Entity Type:Organization
Organization Name:ORIENTAL MEDICAL ARTS & ACUPUNCTURE
Other - Org Name:ORIENTAL MEDICAL ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGGIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:760-634-6471
Mailing Address - Street 1:544 W VISTA WAY
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083
Mailing Address - Country:US
Mailing Address - Phone:760-639-6471
Mailing Address - Fax:760-639-6482
Practice Address - Street 1:544 W VISTA WAY
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083
Practice Address - Country:US
Practice Address - Phone:760-639-6471
Practice Address - Fax:760-639-6482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-14
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8267171100000X
171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty