Provider Demographics
NPI:1437364734
Name:NCACLINIC
Entity Type:Organization
Organization Name:NCACLINIC
Other - Org Name:NCA CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHUNGCHAO
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-204-4126
Mailing Address - Street 1:POB 118
Mailing Address - Street 2:
Mailing Address - City:MT VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94042
Mailing Address - Country:US
Mailing Address - Phone:650-204-4126
Mailing Address - Fax:650-204-4126
Practice Address - Street 1:375 CASTRO ST
Practice Address - Street 2:SUITE B
Practice Address - City:MT VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041
Practice Address - Country:US
Practice Address - Phone:650-204-4126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11915171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty