Provider Demographics
NPI:1891519922
Name:STRESS FREE ACUPUNCTURE, PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:STRESS FREE ACUPUNCTURE, PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:I
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-322-0575
Mailing Address - Street 1:4519 ADMIRALTY WAY STE 130
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5455
Mailing Address - Country:US
Mailing Address - Phone:424-322-0575
Mailing Address - Fax:310-221-8902
Practice Address - Street 1:4519 ADMIRALTY WAY STE 130
Practice Address - Street 2:
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-5455
Practice Address - Country:US
Practice Address - Phone:424-322-0575
Practice Address - Fax:310-221-8902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty