AOM CLINIC LLC NPI 1164060026

NPI Information

NPI: 1164060026
Provider Name: AOM CLINIC LLC
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
7535 LITTLE RIVER TPKE STE 103A
ANNANDALE, VA
ZIP 22003
Phone: (571) 287-1764
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AOM CLINIC LLC is an acupuncturist in Annandale, VA. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. AOM CLINIC LLC NPI is 1164060026. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7535 LITTLE RIVER TPKE STE 103A
ANNANDALE, VA
ZIP 22003-983
Phone: (571) 287-1764
Fax: (888) 276-6354

The provider's authorized official is Tae Y Rim .
The authorized official title is President And Clinic Director and has the following contact phone number (571) 287-1764.

The enumeration date for this NPI number is 12/11/2019 and was last updated on 12/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist				Yes
2	225700000X	Massage Therapist				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0121000929	OTHER	VIRGINIA	STATE ACUPUNCTURE LICENSE
2	0121000474	OTHER	VIRGINIA	STATE ACUPUNCTURE LICENSE
3	19009773	OTHER	VIRGINIA	STATE MASSAGE LICENSE
4	AC500174	OTHER	DISTRICT OF COLUMBIA	STATE ACUPUNCTURE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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