Provider Demographics
NPI:1508419201
Name:BAMBOO ACUPUNCTURE CORP.
Entity Type:Organization
Organization Name:BAMBOO ACUPUNCTURE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JINGZHU
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-513-9265
Mailing Address - Street 1:27600 BOUQUET CANYON RD STE 118
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-3719
Mailing Address - Country:US
Mailing Address - Phone:661-513-9265
Mailing Address - Fax:661-513-0504
Practice Address - Street 1:27600 BOUQUET CANYON RD STE 118
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-3719
Practice Address - Country:US
Practice Address - Phone:661-513-9265
Practice Address - Fax:661-513-0504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-22
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty