Provider Demographics
NPI:1679750814
Name:NINE STAR UNIVERSITY OF HEALTH SCEINCE
Entity Type:Organization
Organization Name:NINE STAR UNIVERSITY OF HEALTH SCEINCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:Z
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:408-532-5567
Mailing Address - Street 1:441 DEGUIGNE DR. #201
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085
Mailing Address - Country:US
Mailing Address - Phone:408-532-5567
Mailing Address - Fax:408-773-3610
Practice Address - Street 1:441 DEGUIGNE DR STE 201
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-3875
Practice Address - Country:US
Practice Address - Phone:408-532-5567
Practice Address - Fax:408-773-3610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty