Provider Demographics
NPI:1285902023
Name:GUANHU YANG ACUPUNCTURE SERVICE LLC
Entity type:Organization
Organization Name:GUANHU YANG ACUPUNCTURE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GUANHU
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:513-652-5688
Mailing Address - Street 1:7201 CAMARGO GREENE CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-2237
Mailing Address - Country:US
Mailing Address - Phone:513-652-5688
Mailing Address - Fax:888-847-1235
Practice Address - Street 1:5887 CORNELL RD
Practice Address - Street 2:UNIT 4,
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242
Practice Address - Country:US
Practice Address - Phone:513-652-5688
Practice Address - Fax:888-847-1235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000077171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty