Provider Demographics
NPI:1962890145
Name:ACUBETHEL ACUPUNCTURE & HERBS,INC
Entity type:Organization
Organization Name:ACUBETHEL ACUPUNCTURE & HERBS,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOONYONG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:213-598-3047
Mailing Address - Street 1:1210 S EUCLID ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-7306
Mailing Address - Country:US
Mailing Address - Phone:213-598-3047
Mailing Address - Fax:
Practice Address - Street 1:1210 S EUCLID ST
Practice Address - Street 2:SUITE A
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-7306
Practice Address - Country:US
Practice Address - Phone:213-598-3047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-22
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13930171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty