Provider Demographics
NPI:1689004756
Name:M.Y. ACUPUNCTURE
Entity Type:Organization
Organization Name:M.Y. ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:YEH
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:925-337-0246
Mailing Address - Street 1:60 FENTON ST
Mailing Address - Street 2:#6
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4148
Mailing Address - Country:US
Mailing Address - Phone:925-337-0246
Mailing Address - Fax:
Practice Address - Street 1:60 FENTON ST
Practice Address - Street 2:#6
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4148
Practice Address - Country:US
Practice Address - Phone:925-337-0246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 15090171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty