Provider Demographics
NPI:1578016374
Name:BARBARA BERGER ACUPUNCTURE
Entity Type:Organization
Organization Name:BARBARA BERGER ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:415-299-0924
Mailing Address - Street 1:712 D ST
Mailing Address - Street 2:SUTIE G
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-3709
Mailing Address - Country:US
Mailing Address - Phone:415-299-0924
Mailing Address - Fax:
Practice Address - Street 1:712 D ST
Practice Address - Street 2:SUTIE G
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-3709
Practice Address - Country:US
Practice Address - Phone:415-299-0924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1009305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service