Provider Demographics
NPI:1659153328
Name:ANDER ACUPUNCTURE AND HERBS
Entity type:Organization
Organization Name:ANDER ACUPUNCTURE AND HERBS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HE
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-679-1965
Mailing Address - Street 1:1310 W STEWART DR STE 302
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3838
Mailing Address - Country:US
Mailing Address - Phone:626-679-1965
Mailing Address - Fax:855-367-6479
Practice Address - Street 1:1310 W STEWART DR STE 302
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3838
Practice Address - Country:US
Practice Address - Phone:626-679-1965
Practice Address - Fax:855-367-6479
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANDER HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty