Provider Demographics
NPI:1700103306
Name:SUNNY BOHWA ACUPUNCTURE HERB CLINIC
Entity Type:Organization
Organization Name:SUNNY BOHWA ACUPUNCTURE HERB CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OM. PHD.
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC OM PHD
Authorized Official - Phone:562-756-8757
Mailing Address - Street 1:143 S. BEACH BL
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631
Mailing Address - Country:US
Mailing Address - Phone:562-756-8557
Mailing Address - Fax:562-690-6777
Practice Address - Street 1:143 S. BEACH BL
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631
Practice Address - Country:US
Practice Address - Phone:562-756-8757
Practice Address - Fax:562-690-6777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10135171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty