Provider Demographics
NPI:1417079781
Name:ACUPUNCTURE LIS TCM HEALTH CENTER
Entity Type:Organization
Organization Name:ACUPUNCTURE LIS TCM HEALTH CENTER
Other - Org Name:LIS TCM HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:RUI
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-815-1203
Mailing Address - Street 1:320 CURTNER AVE
Mailing Address - Street 2:UNIT A
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-3486
Mailing Address - Country:US
Mailing Address - Phone:650-815-1203
Mailing Address - Fax:
Practice Address - Street 1:2005 DE LA CRUZ BLVD
Practice Address - Street 2:SUITE 168
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-3013
Practice Address - Country:US
Practice Address - Phone:650-815-1203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain