Healthcare Provider Details

I. General information

NPI: 1508309089
Provider Name (Legal Business Name): ACUPUNCTURE HELP CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2016
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 N CENTRAL AVE 610
GLENDALE CA
91203-2081
US

IV. Provider business mailing address

411 N CENTRAL AVE 610
GLENDALE CA
91203-2081
US

V. Phone/Fax

Practice location:
  • Phone: 818-244-6792
  • Fax: 818-244-1703
Mailing address:
  • Phone: 818-244-6792
  • Fax: 818-244-1703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberAC 15905
License Number StateCA

VIII. Authorized Official

Name: DR. MEHRDAD JOUKAR
Title or Position: PRESIDENT
Credential: D.A.O.M.
Phone: 818-244-6792