Provider Demographics
NPI:1740783828
Name:ACUINHEALING
Entity Type:Organization
Organization Name:ACUINHEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:RROBERT-JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:WUU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:415-457-4540
Mailing Address - Street 1:250 BEL MARIN KEYS BLVD STE G6
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94949-5727
Mailing Address - Country:US
Mailing Address - Phone:415-457-4540
Mailing Address - Fax:
Practice Address - Street 1:250 BEL MARIN KEYS BLVD STE G6
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94949-5727
Practice Address - Country:US
Practice Address - Phone:415-457-4540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RROBERT WUU
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-14
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16523171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty