Healthcare Provider Details
I. General information
NPI: 1497836720
Provider Name (Legal Business Name): CHI CHU HSUEH AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/17/2006
Last Update Date: 04/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
953 W 7TH ST
OXNARD CA
93030-6756
US
IV. Provider business mailing address
953 W. 7TH STREET
OXNARD CA
93030
US
V. Phone/Fax
- Phone: 805-483-6129
- Fax: 888-246-3934
- Phone: 626-429-3422
- Fax: 888-246-3934
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | 4010 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: