Provider Demographics
NPI:1205161866
Name:CENTER FOR COMPASSIONATE HEALING ART
Entity type:Organization
Organization Name:CENTER FOR COMPASSIONATE HEALING ART
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:WEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TSUN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:760-977-8834
Mailing Address - Street 1:PO BOX 93206
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91715-3206
Mailing Address - Country:US
Mailing Address - Phone:760-977-8834
Mailing Address - Fax:
Practice Address - Street 1:751 S RICHMOND RD
Practice Address - Street 2:STE G
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-8217
Practice Address - Country:US
Practice Address - Phone:760-977-8834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC2615261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service