Healthcare Provider Details

I. General information

NPI: 1871925693
Provider Name (Legal Business Name): LA ALTERNATIVE MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 08/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6010 WILSHIRE BLVD SUITE 301
LOS ANGELES CA
90036-3615
US

IV. Provider business mailing address

6010 WILSHIRE BLVD. SUITE 301
LOS ANGELES CA
90036-3625
US

V. Phone/Fax

Practice location:
  • Phone: 323-937-7889
  • Fax:
Mailing address:
  • Phone: 323-937-7889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. HONGMEI J. LI
Title or Position: CEO
Credential: O.M.D., L.AC
Phone: 818-606-7585