Provider Demographics
NPI:1699237131
Name:THE GOOD & LOTUS CENTER, INC.
Entity type:Organization
Organization Name:THE GOOD & LOTUS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:IN HYE
Authorized Official - Middle Name:
Authorized Official - Last Name:OH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-610-4827
Mailing Address - Street 1:1041 E YORBA LINDA BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-3751
Mailing Address - Country:US
Mailing Address - Phone:714-610-4827
Mailing Address - Fax:714-203-6039
Practice Address - Street 1:1041 E YORBA LINDA BLVD STE 310
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-3751
Practice Address - Country:US
Practice Address - Phone:714-610-4827
Practice Address - Fax:714-203-6039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty