Healthcare Provider Details

I. General information

NPI: 1851583306
Provider Name (Legal Business Name): ACUPUNTURE TREATMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 08/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 DOVERFIELD AVE
HACIENDA HTS CA
91745-1240
US

IV. Provider business mailing address

19267 COLIMA RD STE F
ROWLAND HGTS CA
91748-3007
US

V. Phone/Fax

Practice location:
  • Phone: 310-484-4532
  • Fax:
Mailing address:
  • Phone: 310-484-4532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC2539
License Number StateCA

VIII. Authorized Official

Name: NANCY HOU
Title or Position: OWNER
Credential: LAC
Phone: 310-484-4532