Provider Demographics
NPI:1437766615
Name:EMPRESS WELLNESS AND ACUPUNCTURE INC.
Entity type:Organization
Organization Name:EMPRESS WELLNESS AND ACUPUNCTURE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:HAYLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:657-888-4601
Mailing Address - Street 1:3714 E BROADWAY STE 4
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-6105
Mailing Address - Country:US
Mailing Address - Phone:657-888-4601
Mailing Address - Fax:
Practice Address - Street 1:3714 E BROADWAY STE 4
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-6105
Practice Address - Country:US
Practice Address - Phone:657-888-4601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty