=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164332086
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ORIENTAL ACUPUNCTURE CENTER INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/11/2026
-----------------------------------------------------
Last Update Date | 09/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 600 HOUZE WAY STE C1
-----------------------------------------------------
City | ROSWELL
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30076-1446
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-545-8155
-----------------------------------------------------
Fax | 770-200-1610
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 600 HOUZE WAY STE C1
-----------------------------------------------------
City | ROSWELL
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30076-1446
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-545-8155
-----------------------------------------------------
Fax | 770-200-1610
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | FUZI GAO
-----------------------------------------------------
Credential | LAC
-----------------------------------------------------
Telephone | 770-545-8155
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------