1619018744 NPI number — ACUDOME ACUPUNCTURE CENTER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619018744 NPI number — ACUDOME ACUPUNCTURE CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACUDOME ACUPUNCTURE CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619018744
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9439 CERRO VISTA DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUJUNGA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91042-3405
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
411 N CENTRAL AVE
Provider Second Line Business Practice Location Address:
SUITE 120
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91203-2081
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-956-9700
Provider Business Practice Location Address Fax Number:
818-956-9777
Provider Enumeration Date:
02/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SARDONI
Authorized Official First Name:
ARTHUR
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
818-956-9700

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  AC 9042 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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