Healthcare Provider Details

I. General information

NPI: 1932623972
Provider Name (Legal Business Name): NATIONAL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2017
Last Update Date: 08/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4630 CAMPUS DR STE 100
NEWPORT BEACH CA
92660-1822
US

IV. Provider business mailing address

PO BOX 16005
IRVINE CA
92623-6005
US

V. Phone/Fax

Practice location:
  • Phone: 310-866-0858
  • Fax: 949-502-5593
Mailing address:
  • Phone: 310-866-0858
  • Fax: 949-502-5593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC15297
License Number StateCA

VIII. Authorized Official

Name: MS. HUIHUA HSIUNG
Title or Position: OWNER/ ACUPUNCTURIST
Credential: L.AC
Phone: 310-866-0858