Provider Demographics
NPI:1699914747
Name:DR.YU ACUPUNCTURE LLC
Entity type:Organization
Organization Name:DR.YU ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHUI LIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:505-720-6939
Mailing Address - Street 1:2612 SOUTHERN BLVD SE
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-3759
Mailing Address - Country:US
Mailing Address - Phone:505-896-2011
Mailing Address - Fax:505-896-7877
Practice Address - Street 1:2612 SOUTHERN BLVD SE
Practice Address - Street 2:SUITE A-1
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-3759
Practice Address - Country:US
Practice Address - Phone:505-896-2011
Practice Address - Fax:505-896-7877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM672302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization