Provider Demographics
NPI:1255985362
Name:JINGHUAN CAI ACUPUNCTURE P C
Entity type:Organization
Organization Name:JINGHUAN CAI ACUPUNCTURE P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JINGHUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-271-4893
Mailing Address - Street 1:3519 149TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-3740
Mailing Address - Country:US
Mailing Address - Phone:626-271-4893
Mailing Address - Fax:
Practice Address - Street 1:4903 69TH ST STE B
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-5928
Practice Address - Country:US
Practice Address - Phone:626-271-4893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-26
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty