Healthcare Provider Details

I. General information

NPI: 1093238370
Provider Name (Legal Business Name): FAMILY ACUPUNCTURE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 SEPULVEDA BLVD.STE.A
TORRANCE CA
90505
US

IV. Provider business mailing address

2820 SEPULVEDA BLVD STE A
TORRANCE CA
90505-2803
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code246ZI1000X
TaxonomyMedical Illustrator
License NumberAC7350
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License NumberAC7350
License Number StateCA

VIII. Authorized Official

Name: VICTORIA CHO
Title or Position: CEO
Credential: L.AC.
Phone: 310-325-8500