Provider Demographics
NPI:1184054728
Name:INTEGRATED ACUPUNCTURE & HERBS INC
Entity type:Organization
Organization Name:INTEGRATED ACUPUNCTURE & HERBS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:FLORINDO
Authorized Official - Last Name:SARGENTI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:805-379-1108
Mailing Address - Street 1:890 HAMPSHIRE RD
Mailing Address - Street 2:SUITE S
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2812
Mailing Address - Country:US
Mailing Address - Phone:805-379-1108
Mailing Address - Fax:805-379-2779
Practice Address - Street 1:890 HAMPSHIRE RD
Practice Address - Street 2:SUITE S
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2812
Practice Address - Country:US
Practice Address - Phone:805-379-1108
Practice Address - Fax:805-379-2779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC15005261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care