Provider Demographics
NPI:1609928613
Name:WENYING NIE
Entity Type:Organization
Organization Name:WENYING NIE
Other - Org Name:TCM ACUPUNCTURE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER L.A.C
Authorized Official - Prefix:
Authorized Official - First Name:WENYING
Authorized Official - Middle Name:
Authorized Official - Last Name:NIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-800-3577
Mailing Address - Street 1:2100 FOREST AVE SUITE 112
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4160
Mailing Address - Country:US
Mailing Address - Phone:408-800-3577
Mailing Address - Fax:408-800-3577
Practice Address - Street 1:2100 FOREST AVE SUITE 112
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4160
Practice Address - Country:US
Practice Address - Phone:408-800-3577
Practice Address - Fax:408-800-3577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL.AC. 5457171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty