Healthcare Provider Details

I. General information

NPI: 1962269688
Provider Name (Legal Business Name): NF FAMILY ACUPUNCTURE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2024
Last Update Date: 02/29/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12627 SANTA GERTRUDES AVE STE G
LA MIRADA CA
90638-2533
US

IV. Provider business mailing address

12627 SANTA GERTRUDES AVE STE G
LA MIRADA CA
90638-2533
US

V. Phone/Fax

Practice location:
  • Phone: 714-337-8079
  • Fax:
Mailing address:
  • Phone: 714-337-8079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SANG HEON LEE
Title or Position: CEO
Credential:
Phone: 714-337-8079