Provider Demographics
NPI:1730712258
Name:TOTAL HEALTH ACUPUNCTURE INC
Entity type:Organization
Organization Name:TOTAL HEALTH ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SUNGSOO
Authorized Official - Middle Name:
Authorized Official - Last Name:OH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-878-0078
Mailing Address - Street 1:301 N FORD AVE APT 305
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-1461
Mailing Address - Country:US
Mailing Address - Phone:443-928-9948
Mailing Address - Fax:
Practice Address - Street 1:1351 E CHAPMAN AVE STE F
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3955
Practice Address - Country:US
Practice Address - Phone:443-928-9948
Practice Address - Fax:714-519-3720
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL HEALTH ACUPUNCTURE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty