Provider Demographics
NPI:1871846923
Name:ZEN INTEGRATIVE CLINIC INC
Entity Type:Organization
Organization Name:ZEN INTEGRATIVE CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZENOVIA
Authorized Official - Middle Name:HYEJIN
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-520-1281
Mailing Address - Street 1:28 N 1ST ST
Mailing Address - Street 2:STE 500
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95113-1214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28 N 1ST ST
Practice Address - Street 2:STE 500
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95113-1214
Practice Address - Country:US
Practice Address - Phone:408-520-1281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty