=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144596180
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CINA ENTERTAINMENT.INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/23/2012
-----------------------------------------------------
Last Update Date | 04/25/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1101 S VERMONT AVE STE 207
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90006-2700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-365-1268
-----------------------------------------------------
Fax | 213-365-1269
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1101 S VERMONT AVE STE 207
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90006-2700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-365-1268
-----------------------------------------------------
Fax | 213-365-1269
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | SANG YUN SHIN
-----------------------------------------------------
Credential | L.AC.
-----------------------------------------------------
Telephone | 213-365-1268
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | AC10349
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------