=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114048246
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NATURAL HEALTH INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/03/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 856 N DIAMOND BAR BLVD
-----------------------------------------------------
City | DIAMOND BAR
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91765-1039
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-861-8198
-----------------------------------------------------
Fax | 909-861-8812
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1953 LAS LOMITAS DR
-----------------------------------------------------
City | HACIENDA HEIGHTS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91745-4129
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-861-8198
-----------------------------------------------------
Fax | 909-861-8812
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | CHIH-LEEYON KEVIN CHEN
-----------------------------------------------------
Credential | LAC
-----------------------------------------------------
Telephone | 626-215-3698
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | AC7668
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------