Provider Demographics
NPI:1508114935
Name:ACUPUNCTURE AND HOLISTIC MEDICINE INC.
Entity Type:Organization
Organization Name:ACUPUNCTURE AND HOLISTIC MEDICINE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-944-8162
Mailing Address - Street 1:829 SHATTUCK AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-2019
Mailing Address - Country:US
Mailing Address - Phone:510-731-7535
Mailing Address - Fax:
Practice Address - Street 1:1283 GILMAN ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94706-2351
Practice Address - Country:US
Practice Address - Phone:510-731-7535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13767171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty