Provider Demographics
NPI:1437565975
Name:FELICITY ORIENTAL HEALTHCARE
Entity Type:Organization
Organization Name:FELICITY ORIENTAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KELVIN SHIH-TAI
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:408-352-5666
Mailing Address - Street 1:251 OCONNOR DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1656
Mailing Address - Country:US
Mailing Address - Phone:408-352-5666
Mailing Address - Fax:
Practice Address - Street 1:251 OCONNOR DR
Practice Address - Street 2:SUITE 1
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1656
Practice Address - Country:US
Practice Address - Phone:408-352-5666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-04
Last Update Date:2014-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 16127171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty