Healthcare Provider Details

I. General information

NPI: 1114486511
Provider Name (Legal Business Name): A PLUS ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2019
Last Update Date: 03/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1239 N GRAND AVE
WALNUT CA
91789
US

IV. Provider business mailing address

1239 N GRAND AVE
WALNUT CA
91789-1343
US

V. Phone/Fax

Practice location:
  • Phone: 626-551-7009
  • Fax:
Mailing address:
  • Phone: 626-551-7009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. YANG LU
Title or Position: CEO
Credential: LA.C
Phone: 626-551-7009