Provider Demographics
NPI:1821426511
Name:YANHUANG TCM
Entity Type:Organization
Organization Name:YANHUANG TCM
Other - Org Name:LEI ACUPUNCTURE & HERB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-793-9019
Mailing Address - Street 1:1445 BROOKMILL RD
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-5805
Mailing Address - Country:US
Mailing Address - Phone:650-793-9019
Mailing Address - Fax:
Practice Address - Street 1:690 W FREMONT AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-4200
Practice Address - Country:US
Practice Address - Phone:408-915-7939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 15617171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty