Healthcare Provider Details

I. General information

NPI: 1669703062
Provider Name (Legal Business Name): BAI HSING HEALTHCARE ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2010
Last Update Date: 02/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 SOLITAIRE LN
ALISO VIEJO CA
92656-1769
US

IV. Provider business mailing address

20 SOLITAIRE LN
ALISO VIEJO CA
92656-1769
US

V. Phone/Fax

Practice location:
  • Phone: 949-857-1100
  • Fax: 949-215-5223
Mailing address:
  • Phone: 949-857-1100
  • Fax: 949-215-5223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC13217
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberAC13217
License Number StateCA

VIII. Authorized Official

Name: MRS. HSING TSENG CHU
Title or Position: PRESIDENT/CEO
Credential:
Phone: 949-857-1100