Provider Demographics
NPI:1790491199
Name:ANNE TSE ACUPUNCTURE PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ANNE TSE ACUPUNCTURE PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SUK YEE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:TSE
Authorized Official - Suffix:
Authorized Official - Credentials:DACM, LAC
Authorized Official - Phone:805-439-2180
Mailing Address - Street 1:1177 PALM ST
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-3113
Mailing Address - Country:US
Mailing Address - Phone:805-439-2180
Mailing Address - Fax:818-477-0670
Practice Address - Street 1:1177 PALM ST
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-3113
Practice Address - Country:US
Practice Address - Phone:805-439-2180
Practice Address - Fax:818-477-0670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty