Provider Demographics
NPI:1811218282
Name:FAMILY HEALTHCARE CENTER
Entity Type:Organization
Organization Name:FAMILY HEALTHCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JIANWEI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-505-5653
Mailing Address - Street 1:520 S MURPHY AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086
Mailing Address - Country:US
Mailing Address - Phone:408-505-5653
Mailing Address - Fax:408-659-8461
Practice Address - Street 1:520 S MURPHY AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086
Practice Address - Country:US
Practice Address - Phone:408-505-5653
Practice Address - Fax:408-659-8461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-18
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty