Provider Demographics
NPI:1497033088
Name:OAKLAND ACUPUNCTURE PROJECT, INC.
Entity Type:Organization
Organization Name:OAKLAND ACUPUNCTURE PROJECT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO, SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ROSELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEILLY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:510-842-6350
Mailing Address - Street 1:3576 LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-3841
Mailing Address - Country:US
Mailing Address - Phone:510-842-6350
Mailing Address - Fax:
Practice Address - Street 1:3576 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602-3841
Practice Address - Country:US
Practice Address - Phone:510-842-6350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 11893261Q00000X
CAAC 11941261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center