Provider Demographics
NPI:1699913012
Name:HOLISTIC HEALING HANDS, INC.
Entity type:Organization
Organization Name:HOLISTIC HEALING HANDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:JUEUY
Authorized Official - Middle Name:
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DOM
Authorized Official - Phone:323-913-0023
Mailing Address - Street 1:3171 LOS FELIZ BLVD.
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-1522
Mailing Address - Country:US
Mailing Address - Phone:323-913-0023
Mailing Address - Fax:323-913-0039
Practice Address - Street 1:3171 LOS FELIZ BLVD.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1522
Practice Address - Country:US
Practice Address - Phone:323-913-0023
Practice Address - Fax:323-913-0039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-22
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11174171100000X
CAAC11295171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty