Provider Demographics
NPI:1972676062
Name:OHAI ACUPUNCTURE GROUP
Entity Type:Organization
Organization Name:OHAI ACUPUNCTURE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:DR
Authorized Official - First Name:I LING
Authorized Official - Middle Name:
Authorized Official - Last Name:SUN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:562-423-2288
Mailing Address - Street 1:925 E SAN ANTONIO DR
Mailing Address - Street 2:SUITE #16
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2210
Mailing Address - Country:US
Mailing Address - Phone:562-423-2288
Mailing Address - Fax:562-423-2299
Practice Address - Street 1:925 E SAN ANTONIO DR
Practice Address - Street 2:SUITE #16
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2210
Practice Address - Country:US
Practice Address - Phone:562-423-2288
Practice Address - Fax:562-423-2299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALAC 5439171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty