Provider Demographics
NPI:1225337983
Name:ACUMEDICAL GROUP CORP OF ACUPUNCTURE CLINIC, INC.
Entity Type:Organization
Organization Name:ACUMEDICAL GROUP CORP OF ACUPUNCTURE CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:YH
Authorized Official - Last Name:ZHOU
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURIST
Authorized Official - Phone:650-588-8367
Mailing Address - Street 1:1615 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:MILLBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94030-1214
Mailing Address - Country:US
Mailing Address - Phone:650-588-8367
Mailing Address - Fax:650-588-8511
Practice Address - Street 1:1615 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:MILLBRAE
Practice Address - State:CA
Practice Address - Zip Code:94030-1214
Practice Address - Country:US
Practice Address - Phone:650-588-8367
Practice Address - Fax:650-588-8511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC3350431261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center