Provider Demographics
NPI:1669063418
Name:RUTH SIE ACUPUNCTURE, INC.
Entity type:Organization
Organization Name:RUTH SIE ACUPUNCTURE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:SIE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:323-546-9635
Mailing Address - Street 1:1906 W 41ST ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90062-1414
Mailing Address - Country:US
Mailing Address - Phone:323-546-9635
Mailing Address - Fax:
Practice Address - Street 1:1906 W 41ST ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90062-1414
Practice Address - Country:US
Practice Address - Phone:323-546-9635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty