Provider Demographics
NPI:1871240481
Name:GINA MARKS L.AC. ACUPUNCTURE AND WELLNESS CENTER CORPORATION
Entity Type:Organization
Organization Name:GINA MARKS L.AC. ACUPUNCTURE AND WELLNESS CENTER CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:ISABELL
Authorized Official - Last Name:MARKS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:925-817-9429
Mailing Address - Street 1:2235 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-5408
Mailing Address - Country:US
Mailing Address - Phone:925-817-9429
Mailing Address - Fax:
Practice Address - Street 1:2800 PLEASANT HILL RD STE 260
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2003
Practice Address - Country:US
Practice Address - Phone:925-281-3888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty