Provider Demographics
NPI:1679130447
Name:HEALTH HEALING HANDS ACUPUNCTURE CLINIC LLC
Entity type:Organization
Organization Name:HEALTH HEALING HANDS ACUPUNCTURE CLINIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HYE SUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-944-8233
Mailing Address - Street 1:9161 LIBERIA AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-1724
Mailing Address - Country:US
Mailing Address - Phone:703-420-2722
Mailing Address - Fax:
Practice Address - Street 1:9161 LIBERIA AVE STE 102
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-1724
Practice Address - Country:US
Practice Address - Phone:703-420-2722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty