Provider Demographics
NPI:1396406229
Name:JULES BOGDANSKI INC
Entity Type:Organization
Organization Name:JULES BOGDANSKI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:JULES
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGDANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:510-387-0852
Mailing Address - Street 1:230 GRAND AVE STE 301C
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-4588
Mailing Address - Country:US
Mailing Address - Phone:510-289-0858
Mailing Address - Fax:
Practice Address - Street 1:230 GRAND AVE STE 301C
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-4588
Practice Address - Country:US
Practice Address - Phone:510-289-0858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty