Provider Demographics
NPI:1396970356
Name:WHITTIER ACUPUNCTURE & HERBS CENTER, INC.
Entity type:Organization
Organization Name:WHITTIER ACUPUNCTURE & HERBS CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:SHII
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:562-943-2820
Mailing Address - Street 1:16252 WHITTIER BLVD.,
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2901
Mailing Address - Country:US
Mailing Address - Phone:562-943-2820
Mailing Address - Fax:562-943-2898
Practice Address - Street 1:16252 WHITTIER BLVD.,
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2901
Practice Address - Country:US
Practice Address - Phone:562-943-2820
Practice Address - Fax:562-943-2898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC01355171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA001350OtherBLUESHIELD PIN
CAGAC000170OtherMEDI-CAL
CA8567828Medicaid