Provider Demographics
NPI:1114571759
Name:SLEEP WELL ACUPUNCTURE, INC
Entity Type:Organization
Organization Name:SLEEP WELL ACUPUNCTURE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-394-8676
Mailing Address - Street 1:260 SUNSET BLVD #25
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541
Mailing Address - Country:US
Mailing Address - Phone:510-394-8676
Mailing Address - Fax:
Practice Address - Street 1:1361 S WINCHESTER BLVD SUITE 206,
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128
Practice Address - Country:US
Practice Address - Phone:510-394-8676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty