Provider Demographics
NPI:1922459809
Name:SANG SHEN ACUPUNCTURE, INC.
Entity Type:Organization
Organization Name:SANG SHEN ACUPUNCTURE, INC.
Other - Org Name:MULBERRY WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:I
Authorized Official - Last Name:ROSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:925-683-6484
Mailing Address - Street 1:4096 PIEDMONT AVE
Mailing Address - Street 2:#139
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-5221
Mailing Address - Country:US
Mailing Address - Phone:925-683-6484
Mailing Address - Fax:925-476-1139
Practice Address - Street 1:2500 OLD CROW CANYON RD
Practice Address - Street 2:SUITE 310
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1623
Practice Address - Country:US
Practice Address - Phone:925-683-6484
Practice Address - Fax:925-476-1139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10848171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty