Healthcare Provider Details

I. General information

NPI: 1477177038
Provider Name (Legal Business Name): UPTIMISED INTERNATIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2020
Last Update Date: 07/13/2020
Certification Date: 07/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ORCHARD STE 109
LAKE FOREST CA
92630-8319
US

IV. Provider business mailing address

11 TOROSA
LAKE FOREST CA
92630-8911
US

V. Phone/Fax

Practice location:
  • Phone: 626-678-4810
  • Fax:
Mailing address:
  • Phone: 626-678-4810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KUANPING HUANG
Title or Position: MANAGING PARTNER
Credential:
Phone: 626-678-4810