Provider Demographics
NPI:1225100316
Name:RENJI ACUPUNCTURE & HERBS CLINIC, INC
Entity Type:Organization
Organization Name:RENJI ACUPUNCTURE & HERBS CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:FAN
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:L ACUPUNCTURIST
Authorized Official - Phone:510-656-0588
Mailing Address - Street 1:PO BOX 14288
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-1588
Mailing Address - Country:US
Mailing Address - Phone:510-656-0588
Mailing Address - Fax:510-656-1888
Practice Address - Street 1:46537 MISSION BLVD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-7993
Practice Address - Country:US
Practice Address - Phone:510-656-0588
Practice Address - Fax:510-656-1888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7782171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty