Provider Demographics
NPI:1043386501
Name:SUNSHINE WELLNESS & ACUPUNCTURE HEALING CENTER INC.
Entity Type:Organization
Organization Name:SUNSHINE WELLNESS & ACUPUNCTURE HEALING CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACPUNCTURIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIJUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:408-872-0486
Mailing Address - Street 1:20790 4TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-5896
Mailing Address - Country:US
Mailing Address - Phone:408-872-0486
Mailing Address - Fax:
Practice Address - Street 1:20956 HOMESTEAD RD STE E
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-0358
Practice Address - Country:US
Practice Address - Phone:408-872-0486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 9819261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center