Provider Demographics
NPI:1801399548
Name:AC WELLNESS NETWORK
Entity Type:Organization
Organization Name:AC WELLNESS NETWORK
Other - Org Name:AC WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:YEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-783-4000
Mailing Address - Street 1:20730 VALLEY GREEN DR
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-1704
Mailing Address - Country:US
Mailing Address - Phone:408-783-4000
Mailing Address - Fax:
Practice Address - Street 1:19500 HOMESTEAD RD
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-0600
Practice Address - Country:US
Practice Address - Phone:408-783-4000
Practice Address - Fax:408-217-6140
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AC WELLNESS NETWORK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-08
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health