Provider Demographics
NPI:1538484431
Name:ACTIVE ACUPUNCTURE PARTNERS INC.
Entity Type:Organization
Organization Name:ACTIVE ACUPUNCTURE PARTNERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.AC.
Authorized Official - Prefix:
Authorized Official - First Name:JUN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-621-5332
Mailing Address - Street 1:18988 COX AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-4154
Mailing Address - Country:US
Mailing Address - Phone:408-621-5332
Mailing Address - Fax:888-887-5012
Practice Address - Street 1:18988 COX AVE
Practice Address - Street 2:SUITE C
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-4154
Practice Address - Country:US
Practice Address - Phone:408-621-5332
Practice Address - Fax:888-887-5012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-02
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11508171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty