Healthcare Provider Details

I. General information

NPI: 1629905757
Provider Name (Legal Business Name): HARMONY ACUPUNCTURE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 FAIR OAKS AVE STE 1A
SOUTH PASADENA CA
91030-6220
US

IV. Provider business mailing address

8100 WYOMING BLVD NE STE M4-360
ALBUQUERQUE NM
87113-1946
US

V. Phone/Fax

Practice location:
  • Phone: 505-730-9403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JUNYAN FAN
Title or Position: OWNER
Credential: MS, LAC
Phone: 505-730-9403