Healthcare Provider Details

I. General information

NPI: 1649433277
Provider Name (Legal Business Name): ACUWORLD HEALTH CLINIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 07/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

449 W D ST SUITE C
LEMOORE CA
93245-2611
US

IV. Provider business mailing address

449 W D ST SUITE C
LEMOORE CA
93245-2611
US

V. Phone/Fax

Practice location:
  • Phone: 559-924-5325
  • Fax: 559-924-5268
Mailing address:
  • Phone: 559-924-5325
  • Fax: 559-924-5268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC11891
License Number StateCA

VIII. Authorized Official

Name: YOUNGSAM KIM
Title or Position: PRESIDENT
Credential: L.AC
Phone: 559-924-5325