Healthcare Provider Details

I. General information

NPI: 1043393556
Provider Name (Legal Business Name): BEVERLY HILLS ACUPUNCTURE & HERBOLOGY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 N BEDFORD DR STE 213A
BEVERLY HILLS CA
90210-4306
US

IV. Provider business mailing address

450 N BEDFORD DR STE 213A
BEVERLY HILLS CA
90210-4306
US

V. Phone/Fax

Practice location:
  • Phone: 310-276-8898
  • Fax:
Mailing address:
  • Phone: 310-276-8898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC7138, AC7088
License Number StateCA

VIII. Authorized Official

Name: CHUNYI QIAN
Title or Position: CEO
Credential: ACUPUNCTURIST
Phone: 310-276-8898