Provider Demographics
NPI:1821677055
Name:SAGE ACUPUNCTURE HEALTH CENTER INC.
Entity Type:Organization
Organization Name:SAGE ACUPUNCTURE HEALTH CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:SHAOFANG
Authorized Official - Middle Name:
Authorized Official - Last Name:BI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-262-6888
Mailing Address - Street 1:2680 CROPLEY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-3711
Mailing Address - Country:US
Mailing Address - Phone:408-262-6888
Mailing Address - Fax:
Practice Address - Street 1:2680 CROPLEY AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132-3711
Practice Address - Country:US
Practice Address - Phone:408-262-6888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center