Provider Demographics
NPI:1922466440
Name:POSTOLOVA ACUPUNCTURE GROUP, INC.
Entity Type:Organization
Organization Name:POSTOLOVA ACUPUNCTURE GROUP, INC.
Other - Org Name:LUCY POSTOLOV, L.AC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:POSTOLOV
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:310-444-6212
Mailing Address - Street 1:1990 S BUNDY DR
Mailing Address - Street 2:SUITE 790
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-5240
Mailing Address - Country:US
Mailing Address - Phone:310-444-6212
Mailing Address - Fax:888-650-9839
Practice Address - Street 1:1990 S BUNDY DR
Practice Address - Street 2:SUITE 790
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5240
Practice Address - Country:US
Practice Address - Phone:310-444-6212
Practice Address - Fax:888-650-9839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5202171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty