Provider Demographics
NPI:1821851031
Name:KANEKO JONES ACUPUNCTURE PC
Entity Type:Organization
Organization Name:KANEKO JONES ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KANEKO-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:510-332-2789
Mailing Address - Street 1:830 PAGE ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94710-1450
Mailing Address - Country:US
Mailing Address - Phone:510-332-2789
Mailing Address - Fax:
Practice Address - Street 1:1738 SOLANO AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707-2215
Practice Address - Country:US
Practice Address - Phone:510-558-0117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty