Provider Demographics
NPI:1780222927
Name:EQB ACUPUNCTURE CENTER, INC.
Entity Type:Organization
Organization Name:EQB ACUPUNCTURE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AIPING
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:510-367-5878
Mailing Address - Street 1:39055 CEDAR BLVD STE 133
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-5012
Mailing Address - Country:US
Mailing Address - Phone:510-367-5878
Mailing Address - Fax:510-529-4703
Practice Address - Street 1:595 LAWRENCE EXPY STE 223
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-3922
Practice Address - Country:US
Practice Address - Phone:408-910-3090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-18
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC16042OtherACUPUNCTURE