Healthcare Provider Details

I. General information

NPI: 1891128740
Provider Name (Legal Business Name): EMPEROR MEDICAL GROUP,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2013
Last Update Date: 08/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S LEMON AVE
WALNUT CA
91789-2703
US

IV. Provider business mailing address

300 S LEMON AVE
WALNUT CA
91789-2703
US

V. Phone/Fax

Practice location:
  • Phone: 909-594-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC14740
License Number StateCA

VIII. Authorized Official

Name: MING-YU CHIANG
Title or Position: CEO
Credential:
Phone: 909-594-7000