Provider Demographics
NPI:1871895714
Name:ACUPUNCTURE & MOXA, INC.
Entity type:Organization
Organization Name:ACUPUNCTURE & MOXA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JEON
Authorized Official - Middle Name:HEE
Authorized Official - Last Name:JANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:415-834-9198
Mailing Address - Street 1:490 POST ST
Mailing Address - Street 2:STE 1210
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1303
Mailing Address - Country:US
Mailing Address - Phone:415-834-9198
Mailing Address - Fax:925-254-1119
Practice Address - Street 1:490 POST ST
Practice Address - Street 2:STE 1210
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1303
Practice Address - Country:US
Practice Address - Phone:415-834-9198
Practice Address - Fax:925-254-1119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-29
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13459171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty