Healthcare Provider Details

I. General information

NPI: 1407321896
Provider Name (Legal Business Name): INFINITY FOR HEALTH ACUPUNCTURE PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2018
Last Update Date: 10/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9950 RESEARCH DR
IRVINE CA
92618-4309
US

IV. Provider business mailing address

9950 RESEARCH DR
IRVINE CA
92618-4309
US

V. Phone/Fax

Practice location:
  • Phone: 949-387-5550
  • Fax: 949-387-9998
Mailing address:
  • Phone: 949-387-5550
  • Fax: 949-387-9998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: XIPING WU
Title or Position: CEO
Credential: LICENSED ACUPUNCTURI
Phone: 949-387-5550