Healthcare Provider Details

I. General information

NPI: 1811835176
Provider Name (Legal Business Name): VEASNA ACUPUNCTURE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 N AVALON BLVD
WILMINGTON CA
90744-5806
US

IV. Provider business mailing address

524 N AVALON BLVD
WILMINGTON CA
90744-5806
US

V. Phone/Fax

Practice location:
  • Phone: 310-993-7323
  • Fax: 310-872-3145
Mailing address:
  • Phone: 310-993-7323
  • Fax: 310-872-3145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. REASMAY VEASNA
Title or Position: CEO
Credential:
Phone: 310-993-7323