Provider Demographics
NPI:1730663154
Name:REMEDIZEN ACUPUNCTURE INC.
Entity Type:Organization
Organization Name:REMEDIZEN ACUPUNCTURE INC.
Other - Org Name:REMEDIZEN ACUPUNCTURE
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:YEESHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-847-7483
Mailing Address - Street 1:43050 CHRISTY ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-3165
Mailing Address - Country:US
Mailing Address - Phone:925-951-8580
Mailing Address - Fax:
Practice Address - Street 1:43050 CHRISTY ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-3165
Practice Address - Country:US
Practice Address - Phone:925-951-8580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REMEDIZEN ACUPUNCTURE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16004171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty