Provider Demographics
NPI:1346013091
Name:NEEDLE PLAY ACUPUNCTURE, INC.
Entity Type:Organization
Organization Name:NEEDLE PLAY ACUPUNCTURE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZO
Authorized Official - Middle Name:MARCOS
Authorized Official - Last Name:GREY MOUNTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSTCM, DACM, LAC
Authorized Official - Phone:415-672-0232
Mailing Address - Street 1:12 FAIR AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-5015
Mailing Address - Country:US
Mailing Address - Phone:415-672-0232
Mailing Address - Fax:
Practice Address - Street 1:12 FAIR AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-5015
Practice Address - Country:US
Practice Address - Phone:415-672-0232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center