Provider Demographics
NPI:1033297437
Name:CAL-UNION ACUPUNCTURE & THERAPY
Entity type:Organization
Organization Name:CAL-UNION ACUPUNCTURE & THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZHI LI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHENG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:626-642-0363
Mailing Address - Street 1:600 W MAIN ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3300
Mailing Address - Country:US
Mailing Address - Phone:626-642-0363
Mailing Address - Fax:626-642-0361
Practice Address - Street 1:600 W MAIN ST
Practice Address - Street 2:SUITE 107
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3300
Practice Address - Country:US
Practice Address - Phone:626-642-0363
Practice Address - Fax:626-642-0361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5988171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC0059881Medicaid
CAAC5988OtherPROVIDER LICENSE NUMBER