Healthcare Provider Details

I. General information

NPI: 1639806235
Provider Name (Legal Business Name): HORNG'S ACUPUNCTURE & HERBS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 08/26/2022
Certification Date: 08/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 BROOKHOLLOW DR STE 30
SANTA ANA CA
92705-5427
US

IV. Provider business mailing address

28 CEDARBROOK
IRVINE CA
92620-1265
US

V. Phone/Fax

Practice location:
  • Phone: 949-317-8121
  • Fax:
Mailing address:
  • Phone: 949-317-8121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHIA TA HORNG
Title or Position: CEO
Credential:
Phone: 949-317-8121