Provider Demographics
NPI:1013127018
Name:OHM'S ACUPUNCTURE & HERBAL CLINIC, INC.( LOS ANGELES)
Entity Type:Organization
Organization Name:OHM'S ACUPUNCTURE & HERBAL CLINIC, INC.( LOS ANGELES)
Other - Org Name:OHM'S ACUPUNCTURE & HERBAL CLINIC, INC. (GARDEN GROVE)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:OHM
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:213-381-1010
Mailing Address - Street 1:3434 W 6TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-2578
Mailing Address - Country:US
Mailing Address - Phone:213-381-1010
Mailing Address - Fax:714-636-3445
Practice Address - Street 1:8322 GARDEN GROVE BLVD
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-1103
Practice Address - Country:US
Practice Address - Phone:714-636-3445
Practice Address - Fax:714-636-1449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty