Provider Demographics
NPI:1679354385
Name:WONDER ACUPUNCTURE INC
Entity Type:Organization
Organization Name:WONDER ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:718-689-3688
Mailing Address - Street 1:PO BOX 1052
Mailing Address - Street 2:
Mailing Address - City:SOQUEL
Mailing Address - State:CA
Mailing Address - Zip Code:95073-1052
Mailing Address - Country:US
Mailing Address - Phone:718-689-3688
Mailing Address - Fax:
Practice Address - Street 1:114 ROYCE ST STE E
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030-6041
Practice Address - Country:US
Practice Address - Phone:408-827-5293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty