Healthcare Provider Details
I. General information
NPI: 1164563318
Provider Name (Legal Business Name): JUNHUA SHEN PINSKY M.D. IN CHINA, L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8207 3RD ST SUITE 202
DOWNEY CA
90241-3729
US
IV. Provider business mailing address
8207 3RD ST SUITE 202
DOWNEY CA
90241-3729
US
V. Phone/Fax
- Phone: 562-861-3535
- Fax: 562-861-4455
- Phone: 562-861-3535
- Fax: 562-861-4455
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC 4325 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: