Healthcare Provider Details

I. General information

NPI: 1750235149
Provider Name (Legal Business Name): FR ACUPUNCTURE AND HERBS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 W 6TH ST
CORONA CA
92882-3134
US

IV. Provider business mailing address

1125 W 6TH ST
CORONA CA
92882-3134
US

V. Phone/Fax

Practice location:
  • Phone: 951-407-3690
  • Fax:
Mailing address:
  • Phone: 951-407-3690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL

VIII. Authorized Official

Name: PING XIE
Title or Position: PROVIDER/OWNER
Credential: LAC
Phone: 929-264-4599