Provider Demographics
NPI:1194346387
Name:TSOY ACUPUNCTURE AND ORIENTAL MEDICINE
Entity type:Organization
Organization Name:TSOY ACUPUNCTURE AND ORIENTAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:TATYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:REM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:323-428-6794
Mailing Address - Street 1:1745 SILVER LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-1221
Mailing Address - Country:US
Mailing Address - Phone:323-662-3109
Mailing Address - Fax:
Practice Address - Street 1:1745 SILVER LAKE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-1221
Practice Address - Country:US
Practice Address - Phone:323-662-3109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center