MEDICARE: PACIFIC HEALTHCARE ACUPUNCTURE GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1205799004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PACIFIC HEALTHCARE ACUPUNCTURE GROUP

Provider Business Mailing Address
First Line	:	18750 COLIMA RD STE B
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2962
Country	:	US
Telephone Number	:	626-731-9986
Fax Number	:

Provider Business Practice Location Address
First Line	:	18750 COLIMA RD STE B
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2962
Country	:	US
Telephone Number	:	626-731-9986
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. MOBO HU
Credential	:
Telephone Number	:	626-731-9986

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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