Provider Demographics
NPI:1164830816
Name:WAI YAN TONG ACUPUNCTURE
Entity Type:Organization
Organization Name:WAI YAN TONG ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-619-8484
Mailing Address - Street 1:2090 WARM SPRINGS CT
Mailing Address - Street 2:SUITE 108
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-6759
Mailing Address - Country:US
Mailing Address - Phone:510-619-8484
Mailing Address - Fax:855-838-5878
Practice Address - Street 1:2090 WARM SPRINGS CT
Practice Address - Street 2:SUITE 108
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-6759
Practice Address - Country:US
Practice Address - Phone:510-619-8484
Practice Address - Fax:855-838-5878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty