Healthcare Provider Details

I. General information

NPI: 1578085403
Provider Name (Legal Business Name): ACUPUNCTURE 4 U
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 LORETO PL UNIT A
PLACENTIA CA
92870-1817
US

IV. Provider business mailing address

2020 LORETO PL
PLACENTIA CA
92870-1817
US

V. Phone/Fax

Practice location:
  • Phone: 714-865-7573
  • Fax:
Mailing address:
  • Phone: 714-865-7573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JEANICE LARAY AKEE
Title or Position: CEO/ACUPUNCTURIST
Credential: LAC
Phone: 714-965-7573