Provider Demographics
NPI:1336427640
Name:HOA MAI ACUPUNCTURE & CHIROPRACTIC
Entity Type:Organization
Organization Name:HOA MAI ACUPUNCTURE & CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MAI
Authorized Official - Middle Name:THI
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-717-2201
Mailing Address - Street 1:10131 WESTMINSTER AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-4752
Mailing Address - Country:US
Mailing Address - Phone:714-537-0988
Mailing Address - Fax:714-537-0988
Practice Address - Street 1:10131 WESTMINSTER AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-4752
Practice Address - Country:US
Practice Address - Phone:714-537-0988
Practice Address - Fax:714-537-0988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24420111N00000X
CAAC13167171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty