Provider Demographics
NPI:1760981617
Name:EAST BAY ACUPUNCTURE
Entity Type:Organization
Organization Name:EAST BAY ACUPUNCTURE
Other - Org Name:AIMEE RUIZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:510-444-4141
Mailing Address - Street 1:440 GRAND AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-5032
Mailing Address - Country:US
Mailing Address - Phone:510-444-4141
Mailing Address - Fax:
Practice Address - Street 1:440 GRAND AVE STE 401
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-5032
Practice Address - Country:US
Practice Address - Phone:510-444-4141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14804261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center