Provider Demographics
NPI:1780405027
Name:MARIN HOLY HILL ACUPUNCTURE CLINIC LLC
Entity type:Organization
Organization Name:MARIN HOLY HILL ACUPUNCTURE CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEEJUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:RHEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-857-8911
Mailing Address - Street 1:1933 W MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-6930
Mailing Address - Country:US
Mailing Address - Phone:818-808-7198
Mailing Address - Fax:
Practice Address - Street 1:1933 W MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-6930
Practice Address - Country:US
Practice Address - Phone:818-808-7198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEST ACUPUNCTURE CLINIC PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-19
Last Update Date:2024-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty