Healthcare Provider Details

I. General information

NPI: 1407914732
Provider Name (Legal Business Name): ACUPUNCTURE AND HERBAL CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3611 NM HWY 528 SUITE A
ALBUQUERQUE NM
87114
US

IV. Provider business mailing address

3611 NM HWY 528 SUITE A
ALBUQUERQUE NM
87114
US

V. Phone/Fax

Practice location:
  • Phone: 505-898-6668
  • Fax:
Mailing address:
  • Phone: 505-898-6668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberNM 416
License Number StateNM

VIII. Authorized Official

Name: QI CHU
Title or Position: OMD
Credential: L.AC. OMD
Phone: 505-898-6668