Provider Demographics
NPI: | 1356690044 |
---|---|
Name: | EEECARE ACUPUNCTURE INC. |
Entity Type: | Organization |
Organization Name: | EEECARE ACUPUNCTURE INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | YENCHENG |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CHEN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LAC PHD |
Authorized Official - Phone: | 408-800-6806 |
Mailing Address - Street 1: | 1169 BEDFORD ST |
Mailing Address - Street 2: | |
Mailing Address - City: | FREMONT |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 94539-4603 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 408-800-6806 |
Mailing Address - Fax: | 408-912-2888 |
Practice Address - Street 1: | 800 CALIFORNIA ST |
Practice Address - Street 2: | |
Practice Address - City: | MOUNTAIN VIEW |
Practice Address - State: | CA |
Practice Address - Zip Code: | 94041-2809 |
Practice Address - Country: | US |
Practice Address - Phone: | 408-800-6806 |
Practice Address - Fax: | 408-912-2888 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-09-10 |
Last Update Date: | 2012-09-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | AC 14687 | 171100000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 171100000X | Other Service Providers | Acupuncturist | Group - Single Specialty |