Provider Demographics
NPI:1326390063
Name:TREE OF QI ACUPUNCTURE CLINIC
Entity Type:Organization
Organization Name:TREE OF QI ACUPUNCTURE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTIST, OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BASTIAN
Authorized Official - Middle Name:SASCHA
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DIPLOM
Authorized Official - Phone:415-424-3479
Mailing Address - Street 1:3321 21ST ST APT 1
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2330
Mailing Address - Country:US
Mailing Address - Phone:415-424-3479
Mailing Address - Fax:
Practice Address - Street 1:2601 MISSION ST STE 201
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3136
Practice Address - Country:US
Practice Address - Phone:415-424-3479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13771171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty