Provider Demographics
NPI:1609261783
Name:LOTUS HEALING ACUPUNCTURE CENTER, INC.
Entity Type:Organization
Organization Name:LOTUS HEALING ACUPUNCTURE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-260-4325
Mailing Address - Street 1:2555 FLORES ST
Mailing Address - Street 2:SUITE 450
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-2342
Mailing Address - Country:US
Mailing Address - Phone:650-260-4325
Mailing Address - Fax:650-212-7288
Practice Address - Street 1:2555 FLORES ST
Practice Address - Street 2:SUITE 450
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-2342
Practice Address - Country:US
Practice Address - Phone:650-260-4325
Practice Address - Fax:650-212-7288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 6871171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty