Provider Demographics
NPI:1316165293
Name:ASIAN MEDICINE INSTITUTE, INC.
Entity type:Organization
Organization Name:ASIAN MEDICINE INSTITUTE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:PROF
Authorized Official - First Name:MUNHWA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:714-731-3881
Mailing Address - Street 1:150 S PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3617
Mailing Address - Country:US
Mailing Address - Phone:714-731-3881
Mailing Address - Fax:714-731-3831
Practice Address - Street 1:150 S PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3617
Practice Address - Country:US
Practice Address - Phone:714-731-3881
Practice Address - Fax:714-731-3831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13290171100000X
CAAC11296171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty