Acupuncture & Vital Energy Promotion Health Center

Acupuncturist

Other Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Acupuncture & Vital Energy Promotion Health Center does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1790038180
Provider Type
Organization
Full Name
Acupuncture & Vital Energy Promotion Health Center

Subpart
No
Enumeration Date
10/23/2012
Last Updated
10/23/2012

Contact Information

Practice Location

2620 Walnut Ave, Tustin, CA 92780-7028

(714) 838-7575

Unlisted Fax

Mailing Location

2620 Walnut Ave, Tustin, CA 92780-7028

(714) 838-7575

Unlisted Fax

Authorized Official

Mao, Yong Guang (Co-Owner)

(714) 838-7575

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License AC10814 California

Acupuncture & Vital Energy Promotion Health Center

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Huang Acupuncture & Herb Inc

Healthy Life Acupuncture & Herbal Medicine Center ,Inc

Lee, Myung Sun

Oc Holistic Care Inc.

Dxm.Acupuncture Inc.

Chung, Linda

Chen, Heidi L.

All Natural Acupuncture & Herbs Inc

Chung, Hyunsoo

Eastern Medical Group