Provider Demographics
NPI:1558438051
Name:SHEK'S HEALING CENTER
Entity Type:Organization
Organization Name:SHEK'S HEALING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:LAI-WAH
Authorized Official - Last Name:SHEK
Authorized Official - Suffix:
Authorized Official - Credentials:OMD, L AC
Authorized Official - Phone:415-661-1302
Mailing Address - Street 1:1755 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-4501
Mailing Address - Country:US
Mailing Address - Phone:415-661-1302
Mailing Address - Fax:415-661-1302
Practice Address - Street 1:1755 17TH AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-4501
Practice Address - Country:US
Practice Address - Phone:415-661-1302
Practice Address - Fax:415-661-1302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC3473261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service