Provider Demographics
NPI:1275637340
Name:SUNRISE ACUPUNCTURE MEDICAL CENTER
Entity Type:Organization
Organization Name:SUNRISE ACUPUNCTURE MEDICAL CENTER
Other - Org Name:XIAO ZHU
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:XIAO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LAC
Authorized Official - Phone:909-981-1883
Mailing Address - Street 1:1175 E ARROW HWY
Mailing Address - Street 2:SUITE F
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-5525
Mailing Address - Country:US
Mailing Address - Phone:909-981-1883
Mailing Address - Fax:909-949-0892
Practice Address - Street 1:1175 E ARROW HWY
Practice Address - Street 2:SUITE F
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-5525
Practice Address - Country:US
Practice Address - Phone:909-981-1883
Practice Address - Fax:909-949-0892
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUNRISE ACUPUNCTURE MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-11
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 6667171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty