MEDICARE: HOLISTIC HEALING HANDS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	11174	CA
2	171100000X	Acupuncturist	AC11295	CA

General Provider Information

NPI Number	:	1699913012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLISTIC HEALING HANDS, INC.

Provider Business Mailing Address
First Line	:	3171 LOS FELIZ BLVD.
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1522
Country	:	US
Telephone Number	:	323-913-0023
Fax Number	:	323-913-0039

Provider Business Practice Location Address
First Line	:	3171 LOS FELIZ BLVD.
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1522
Country	:	US
Telephone Number	:	323-913-0023
Fax Number	:	323-913-0039

Authorized Official
Title or Position	:	REPRESENTATIVE
Name	:	JUEUY HONG
Credential	:	LAC, DOM
Telephone Number	:	323-913-0023

Provider Enumeration Date	:	01/22/2009
Last Update Date	:	04/19/2018

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Directions to “HOLISTIC HEALING HANDS, INC. ” Practice Location

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