Provider Demographics
NPI:1518725076
Name:OU'S ACUPUNCTURE, TUI-NA, & HERB CENTER, PROF. CORP.
Entity Type:Organization
Organization Name:OU'S ACUPUNCTURE, TUI-NA, & HERB CENTER, PROF. CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LI-CHUN
Authorized Official - Middle Name:
Authorized Official - Last Name:OU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-420-0463
Mailing Address - Street 1:3905 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-1005
Mailing Address - Country:US
Mailing Address - Phone:510-420-0463
Mailing Address - Fax:510-595-3893
Practice Address - Street 1:3905 GRAND AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-1005
Practice Address - Country:US
Practice Address - Phone:510-420-0463
Practice Address - Fax:510-595-3893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty