Provider Demographics
NPI:1679051775
Name:ACCEL ACUPUNCTURE & HEALTH CLINIC
Entity type:Organization
Organization Name:ACCEL ACUPUNCTURE & HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:NEGEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIARASHI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:818-404-2425
Mailing Address - Street 1:28222 AGOURA RD STE 100
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2411
Mailing Address - Country:US
Mailing Address - Phone:818-404-2425
Mailing Address - Fax:
Practice Address - Street 1:28222 AGOURA RD STE 100
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2411
Practice Address - Country:US
Practice Address - Phone:818-404-2425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17685171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty