Provider Demographics
NPI:1902876576
Name:HELEN HONG HU. OMD. L.AC. PC.
Entity Type:Organization
Organization Name:HELEN HONG HU. OMD. L.AC. PC.
Other - Org Name:DBA (DO BUSINESS AS) TRADITIONAL CHINESE MEDICINE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:HONG
Authorized Official - Last Name:HU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD LAC MEDICAL DE
Authorized Official - Phone:619-226-6506
Mailing Address - Street 1:1267 ROSECRANS STREET.
Mailing Address - Street 2:SUITE C
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106
Mailing Address - Country:US
Mailing Address - Phone:619-226-6506
Mailing Address - Fax:619-756-7692
Practice Address - Street 1:1267 ROSECRANS STREET.
Practice Address - Street 2:SUITE C
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106
Practice Address - Country:US
Practice Address - Phone:619-226-6506
Practice Address - Fax:619-756-7692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-25
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA 9141171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty