Provider Demographics
NPI:1225297294
Name:CALIFORNIA HOLISTIC HEALTH CENTER
Entity Type:Organization
Organization Name:CALIFORNIA HOLISTIC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HIDENORI
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-703-9636
Mailing Address - Street 1:635 PARTRIDGE AVE
Mailing Address - Street 2:APT A
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025
Mailing Address - Country:US
Mailing Address - Phone:650-703-9636
Mailing Address - Fax:
Practice Address - Street 1:20445 PACIFICA DR
Practice Address - Street 2:SUITE A
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014
Practice Address - Country:US
Practice Address - Phone:650-703-9636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC9851171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty