Provider Demographics
NPI:1114419496
Name:SENTIENT HEALTH AND ACUPUNCTURE, INC.
Entity Type:Organization
Organization Name:SENTIENT HEALTH AND ACUPUNCTURE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHENG-TIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:408-914-2468
Mailing Address - Street 1:1055 E BROKAW RD STE 30-178
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-2318
Mailing Address - Country:US
Mailing Address - Phone:626-537-6364
Mailing Address - Fax:
Practice Address - Street 1:4155 MOORPARK AVE.
Practice Address - Street 2:STE 20 ROOM B
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95117
Practice Address - Country:US
Practice Address - Phone:408-914-2468
Practice Address - Fax:530-937-9585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-04
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15918171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty