Provider Demographics
NPI:1528095619
Name:BEST EASTERN ACUPUNCTURE & HERBAL CLINIC, CORP
Entity type:Organization
Organization Name:BEST EASTERN ACUPUNCTURE & HERBAL CLINIC, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:626-287-3512
Mailing Address - Street 1:1042 S SAN GABRIEL BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-3113
Mailing Address - Country:US
Mailing Address - Phone:626-287-3512
Mailing Address - Fax:626-287-4210
Practice Address - Street 1:1042 S SAN GABRIEL BLVD
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-3113
Practice Address - Country:US
Practice Address - Phone:626-287-3512
Practice Address - Fax:626-287-4210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC1616171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty