Healthcare Provider Details

I. General information

NPI: 1881843548
Provider Name (Legal Business Name): BEIJING ACUPUNCTURE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2008
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28410 OLD TOWN FRONT ST STE 108
TEMECULA CA
92590
US

IV. Provider business mailing address

11975 CARMEL MTN RD STE 604
SAN DIEGO CA
92128-4612
US

V. Phone/Fax

Practice location:
  • Phone: 951-694-1037
  • Fax:
Mailing address:
  • Phone: 858-451-6565
  • 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. NATHAN N TENG
Title or Position: MANAGER
Credential:
Phone: 951-694-1037