Provider Demographics
NPI:1235648569
Name:WAI YAN TONG ACUPUNCTURE INC
Entity Type:Organization
Organization Name:WAI YAN TONG ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position: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 1:6070 STEVENSON BLVD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-5250
Mailing Address - Country:US
Mailing Address - Phone:510-619-8484
Mailing Address - Fax:
Practice Address - Street 1:6070 STEVENSON BLVD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-5250
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:2017-09-29
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty