Provider Demographics
NPI:1023581519
Name:RUYI LOUIE ACUPUNCTURE INTEGRATIVE MEDICINE CORP
Entity type:Organization
Organization Name:RUYI LOUIE ACUPUNCTURE INTEGRATIVE MEDICINE CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LU
Authorized Official - Suffix:
Authorized Official - Credentials:DAIM LAC
Authorized Official - Phone:909-490-4913
Mailing Address - Street 1:907 S EVANWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-3920
Mailing Address - Country:US
Mailing Address - Phone:909-490-4913
Mailing Address - Fax:626-226-5562
Practice Address - Street 1:612 W DUARTE RD STE 105
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-9222
Practice Address - Country:US
Practice Address - Phone:909-490-4913
Practice Address - Fax:626-226-5562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-07
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty