Provider Demographics
NPI:1790271807
Name:LOBO'S ACUPUNCTURE CLINIC
Entity Type:Organization
Organization Name:LOBO'S ACUPUNCTURE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L. AC.
Authorized Official - Prefix:DR
Authorized Official - First Name:LOBO
Authorized Official - Middle Name:DR
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:408-355-4178
Mailing Address - Street 1:1615 BLOSSOM HILL RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-6340
Mailing Address - Country:US
Mailing Address - Phone:408-355-4178
Mailing Address - Fax:
Practice Address - Street 1:1208 E ARQUES AVE STE 112
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-5419
Practice Address - Country:US
Practice Address - Phone:408-355-4178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-02
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC18095171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty