Healthcare Provider Details

I. General information

NPI: 1851033765
Provider Name (Legal Business Name): RESET ACUPUNCTURE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 04/11/2022
Certification Date: 04/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1777 N BELLFLOWER BLVD STE 107
LONG BEACH CA
90815-4019
US

IV. Provider business mailing address

1777 N BELLFLOWER BLVD STE 107
LONG BEACH CA
90815-4019
US

V. Phone/Fax

Practice location:
  • Phone: 562-534-8777
  • Fax:
Mailing address:
  • Phone: 562-534-8777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LISA LEE
Title or Position: OWNER
Credential: LAC.
Phone: 562-534-8777