Healthcare Provider Details

I. General information

NPI: 1053853457
Provider Name (Legal Business Name): TSEN-IH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2016
Last Update Date: 11/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 E COLORADO BLVD
PASADENA CA
91107-3566
US

IV. Provider business mailing address

1930 E COLORADO BLVD
PASADENA CA
91107-3566
US

V. Phone/Fax

Practice location:
  • Phone: 626-578-9119
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number8370
License Number StateCA

VIII. Authorized Official

Name: KEVIN B. TAYLOR
Title or Position: ACUPUNTURIST
Credential:
Phone: 626-578-9119