Healthcare Provider Details

I. General information

NPI: 1912505504
Provider Name (Legal Business Name): WITHEE ACUPUNCTURE A PROFESSIONAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2020
Last Update Date: 10/15/2020
Certification Date: 10/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 SEPULVEDA BLVD
TORRANCE CA
90505-2803
US

IV. Provider business mailing address

2574 W 234TH ST
TORRANCE CA
90505-3115
US

V. Phone/Fax

Practice location:
  • Phone: 310-325-8500
  • Fax: 310-325-8502
Mailing address:
  • Phone: 310-776-0554
  • Fax: 310-325-8502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. VICTORIA CHO
Title or Position: CEO
Credential: L. AC.
Phone: 310-776-0554