Provider Demographics
NPI:1891290011
Name:INTERNATIONAL HERBAL INC.
Entity Type:Organization
Organization Name:INTERNATIONAL HERBAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE ACUPUNCTURIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:WINNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:650-776-4657
Mailing Address - Street 1:1056 CONTINENTALS WAY APT 26
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-3146
Mailing Address - Country:US
Mailing Address - Phone:650-776-4657
Mailing Address - Fax:
Practice Address - Street 1:861 SAN BRUNO AVE W RM 3
Practice Address - Street 2:
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-3400
Practice Address - Country:US
Practice Address - Phone:650-875-2378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17640261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center