Provider Demographics
NPI:1508087271
Name:LOS ALTOS ACUPUNCTURE CENTER
Entity Type:Organization
Organization Name:LOS ALTOS ACUPUNCTURE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.AC.
Authorized Official - Prefix:PROF
Authorized Official - First Name:XIAOFEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:650-948-8483
Mailing Address - Street 1:881 FREMONT AVE
Mailing Address - Street 2:A5
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-5697
Mailing Address - Country:US
Mailing Address - Phone:650-948-8483
Mailing Address - Fax:650-559-0719
Practice Address - Street 1:881 FREMONT AVE
Practice Address - Street 2:A5
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-5697
Practice Address - Country:US
Practice Address - Phone:650-948-8483
Practice Address - Fax:650-559-0719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC. 0045510171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty