Provider Demographics
NPI:1437305216
Name:BINA, JACQUES N (LAC, MTOM)
Entity type:Individual
Prefix:MR
First Name:JACQUES
Middle Name:N
Last Name:BINA
Suffix:
Gender:M
Credentials:LAC, MTOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4648 SALTILLO ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-5427
Mailing Address - Country:US
Mailing Address - Phone:818-926-9383
Mailing Address - Fax:
Practice Address - Street 1:4648 SALTILLO ST
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-5427
Practice Address - Country:US
Practice Address - Phone:818-926-9383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4442171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist