Provider Demographics
NPI:1073845756
Name:HONG WEI ACUPUNCTURE CENTER
Entity Type:Organization
Organization Name:HONG WEI ACUPUNCTURE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:FRACH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:408-984-2455
Mailing Address - Street 1:1580 OAKLAND RD
Mailing Address - Street 2:SUITE C211
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-2440
Mailing Address - Country:US
Mailing Address - Phone:408-436-8055
Mailing Address - Fax:408-217-2459
Practice Address - Street 1:1580 OAKLAND RD
Practice Address - Street 2:SUITE C211
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2440
Practice Address - Country:US
Practice Address - Phone:408-436-8055
Practice Address - Fax:408-217-2459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty