Provider Demographics
NPI:1932589967
Name:ORGANIKA MEDPIA, INC
Entity Type:Organization
Organization Name:ORGANIKA MEDPIA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:KYO CHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-362-7344
Mailing Address - Street 1:238 AMETHYST CIR
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90248-3376
Mailing Address - Country:US
Mailing Address - Phone:714-362-7344
Mailing Address - Fax:
Practice Address - Street 1:421 N BROOKHURST ST
Practice Address - Street 2:SUITE 119
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5637
Practice Address - Country:US
Practice Address - Phone:714-533-8575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16391171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty