Organization · NPI-2

Acufather INC

Clinic/Center · Los Angeles, CA

NPI number1114805090
StatusActive
Last updated in NPPESAug 26, 2025

Details

NPI
1114805090
Entity type
Organization (NPI-2)
Legal business name
Acufather INC
Organization subpart
No
Enumeration date
Aug 26, 2025
Certification date
Aug 26, 2025
Last updated
Aug 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

12340 Santa Monica Blvd Ste 251
Los Angeles, CA 90025-0405

Phone 310-699-1028

Mailing address

12340 Santa Monica Blvd Ste 251
Los Angeles, CA 90025-0405

Authorized official

Changqing Joseph Yang
Ceo
3106991028

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