Healthcare Provider Details

I. General information

NPI: 1760239933
Provider Name (Legal Business Name): NEW UNIVERSE ACUPUNCTURE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2024
Last Update Date: 01/18/2025
Certification Date: 01/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N ROSEMEAD BLVD STE 203
PASADENA CA
91107-2154
US

IV. Provider business mailing address

600 N ROSEMEAD BLVD STE 203
PASADENA CA
91107-2154
US

V. Phone/Fax

Practice location:
  • Phone: 626-228-5676
  • Fax:
Mailing address:
  • Phone: 626-228-5676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: XINYU BU
Title or Position: OWNER
Credential: L.AC.
Phone: 626-228-5676