Healthcare Provider Details

I. General information

NPI: 1902459449
Provider Name (Legal Business Name): K.L. FAMILY ACUPUNCTURE & HERB, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

886 W FOOTHILL BLVD SUITE A
UPLAND CA
91786
US

IV. Provider business mailing address

886 W FOOTHILL BLVD SUITE A
UPLAND CA
91786
US

V. Phone/Fax

Practice location:
  • Phone: 909-985-4372
  • Fax: 909-985-0099
Mailing address:
  • Phone: 909-985-4372
  • Fax: 909-985-0099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CELINA CHAU
Title or Position: OWNER
Credential: DAOM, L.AC
Phone: 909-985-4372