Provider Demographics
NPI:1407841257
Name:TU, JIANG RU (LAC PHD,OMD)
Entity Type:Individual
Prefix:DR
First Name:JIANG
Middle Name:RU
Last Name:TU
Suffix:
Gender:M
Credentials:LAC PHD,OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1833 KEY BLVD
Mailing Address - Street 2:
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-1927
Mailing Address - Country:US
Mailing Address - Phone:510-235-5166
Mailing Address - Fax:510-235-5166
Practice Address - Street 1:2801 PINOLE VALLEY RD
Practice Address - Street 2:STE 202
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-1464
Practice Address - Country:US
Practice Address - Phone:510-734-0467
Practice Address - Fax:510-235-5166
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4670171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist