Healthcare Provider Details

I. General information

NPI: 1609537844
Provider Name (Legal Business Name): ACU-CARE MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2022
Last Update Date: 01/09/2022
Certification Date: 01/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12225 SOUTH ST STE 105
ARTESIA CA
90701-7046
US

IV. Provider business mailing address

12408 ECKLESON ST
CERRITOS CA
90703-7852
US

V. Phone/Fax

Practice location:
  • Phone: 562-924-7238
  • Fax:
Mailing address:
  • Phone: 562-924-7238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: MEEI LEE
Title or Position: MANAGER
Credential:
Phone: 562-924-7238