Provider Demographics
NPI:1609001528
Name:ORIENTAL COSMOS HEALTH CENTER
Entity Type:Organization
Organization Name:ORIENTAL COSMOS HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:HWA
Authorized Official - Middle Name:AUN
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:650-964-1518
Mailing Address - Street 1:318 MOFFETT BLVD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-4726
Mailing Address - Country:US
Mailing Address - Phone:650-964-1518
Mailing Address - Fax:408-519-3732
Practice Address - Street 1:318 MOFFETT BLVD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-4726
Practice Address - Country:US
Practice Address - Phone:650-964-1518
Practice Address - Fax:408-519-3732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10918171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty