Provider Demographics
NPI:1053635649
Name:ACCREDITED ACUPUNCTURE CLINIC
Entity Type:Organization
Organization Name:ACCREDITED ACUPUNCTURE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-924-7911
Mailing Address - Street 1:87 SCRIPPS DR STE 212
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6381
Mailing Address - Country:US
Mailing Address - Phone:916-924-7911
Mailing Address - Fax:916-924-7972
Practice Address - Street 1:87 SCRIPPS DR STE 212
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6381
Practice Address - Country:US
Practice Address - Phone:916-924-7911
Practice Address - Fax:916-924-7972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty