Provider Demographics
NPI:1245466994
Name:ACUPUNCTURE & ORIENTAL MEDICINE, LLC.
Entity type:Organization
Organization Name:ACUPUNCTURE & ORIENTAL MEDICINE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:303-337-2866
Mailing Address - Street 1:8801 E HAMPDEN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4950
Mailing Address - Country:US
Mailing Address - Phone:303-337-2866
Mailing Address - Fax:303-337-2866
Practice Address - Street 1:8801 E HAMPDEN AVE STE 102
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4950
Practice Address - Country:US
Practice Address - Phone:303-337-2866
Practice Address - Fax:303-337-2866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1206171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty