Provider Demographics
NPI:1740934777
Name:GLORIA ACUPUNCTURE INC.
Entity type:Organization
Organization Name:GLORIA ACUPUNCTURE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HEE SUN
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-281-9342
Mailing Address - Street 1:17806 PIONEER BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-4426
Mailing Address - Country:US
Mailing Address - Phone:562-281-9342
Mailing Address - Fax:844-203-8013
Practice Address - Street 1:17806 PIONEER BLVD STE 105
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-4426
Practice Address - Country:US
Practice Address - Phone:562-281-9342
Practice Address - Fax:844-203-8013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty