Provider Demographics
NPI:1154059186
Name:LA PALMA ACUPUNCTURE WELLNESS
Entity type:Organization
Organization Name:LA PALMA ACUPUNCTURE WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANG
Authorized Official - Middle Name:HEE
Authorized Official - Last Name:SHIN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:714-592-3126
Mailing Address - Street 1:5451 LA PALMA AVE STE 18
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1729
Mailing Address - Country:US
Mailing Address - Phone:714-592-3126
Mailing Address - Fax:714-594-7414
Practice Address - Street 1:5451 LA PALMA AVE STE 18
Practice Address - Street 2:
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1729
Practice Address - Country:US
Practice Address - Phone:714-592-3126
Practice Address - Fax:714-594-7414
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AASB SOCIETY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty