Provider Demographics
NPI:1255739009
Name:GOLDEN MEAN ACUPUNCTURE, INC.
Entity type:Organization
Organization Name:GOLDEN MEAN ACUPUNCTURE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:
Authorized Official - Last Name:MENASHE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:805-276-0666
Mailing Address - Street 1:4652 HOLLYWOOD BLVD
Mailing Address - Street 2:#109
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-5408
Mailing Address - Country:US
Mailing Address - Phone:805-276-0666
Mailing Address - Fax:
Practice Address - Street 1:4652 HOLLYWOOD BLVD
Practice Address - Street 2:#109
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-5408
Practice Address - Country:US
Practice Address - Phone:805-276-0666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty