Provider Demographics
NPI:1124253711
Name:UNION ACUPUNCTURE & NATURAL HEALING CLINIC
Entity type:Organization
Organization Name:UNION ACUPUNCTURE & NATURAL HEALING CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:RHEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-446-9144
Mailing Address - Street 1:905 S EUCLID ST
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-2808
Mailing Address - Country:US
Mailing Address - Phone:714-446-9144
Mailing Address - Fax:562-299-5912
Practice Address - Street 1:905 S EUCLID ST
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-2808
Practice Address - Country:US
Practice Address - Phone:714-446-9144
Practice Address - Fax:562-299-5912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 12142171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty