Healthcare Provider Details

I. General information

NPI: 1205799004
Provider Name (Legal Business Name): PACIFIC HEALTHCARE ACUPUNCTURE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18750 COLIMA RD STE B
ROWLAND HEIGHTS CA
91748-2962
US

IV. Provider business mailing address

18750 COLIMA RD STE B
ROWLAND HEIGHTS CA
91748-2962
US

V. Phone/Fax

Practice location:
  • Phone: 626-731-9986
  • Fax:
Mailing address:
  • Phone: 626-731-9986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MOBO HU
Title or Position: CEO
Credential:
Phone: 626-731-9986