Healthcare Provider Details

I. General information

NPI: 1295510568
Provider Name (Legal Business Name): CONTEMPORARY ACUPUNCTURE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 09/05/2023
Certification Date: 09/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4516 S 700 E STE 220
SALT LAKE CITY UT
84107-8603
US

IV. Provider business mailing address

4516 S 700 E STE 220
SALT LAKE CITY UT
84107-8603
US

V. Phone/Fax

Practice location:
  • Phone: 801-290-2106
  • Fax:
Mailing address:
  • Phone: 801-290-2106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. TING LUNG
Title or Position: OWNER
Credential:
Phone: 801-290-2106