Provider Demographics
NPI:1578099560
Name:SOPHIA & SUSANNA CHARITY HOLDINGS, INC.
Entity Type:Organization
Organization Name:SOPHIA & SUSANNA CHARITY HOLDINGS, INC.
Other - Org Name:HONGWEI MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:HONGXIA
Authorized Official - Middle Name:LIU
Authorized Official - Last Name:CULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-912-9222
Mailing Address - Street 1:7337 BOLLINGER ROAD
Mailing Address - Street 2:SUITE C & E
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014
Mailing Address - Country:US
Mailing Address - Phone:408-645-5780
Mailing Address - Fax:408-899-6191
Practice Address - Street 1:7337 BOLLINGER ROAD
Practice Address - Street 2:SUITE C & E
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014
Practice Address - Country:US
Practice Address - Phone:408-645-5780
Practice Address - Fax:408-899-6191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty