Provider Demographics
NPI:1255437299
Name:CJS HERBAL & ACUPUNCTURE
Entity type:Organization
Organization Name:CJS HERBAL & ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:626-442-8898
Mailing Address - Street 1:3948 PECK RD
Mailing Address - Street 2:#9
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91732-2255
Mailing Address - Country:US
Mailing Address - Phone:626-442-8898
Mailing Address - Fax:626-442-8898
Practice Address - Street 1:3948 PECK RD
Practice Address - Street 2:#9
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91732-2255
Practice Address - Country:US
Practice Address - Phone:626-442-8898
Practice Address - Fax:626-442-8898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8434171100000X
CAAC8323171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC8434OtherSTATE LICENSE
CAAC8323OtherSTATE LICENSE