Provider Demographics
NPI:1932122488
Name:OU, JENNY X (LAC, OMD)
Entity Type:Individual
Prefix:DR
First Name:JENNY
Middle Name:X
Last Name:OU
Suffix:
Gender:F
Credentials:LAC, OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-2313
Mailing Address - Country:US
Mailing Address - Phone:415-668-6789
Mailing Address - Fax:415-668-8969
Practice Address - Street 1:323 6TH AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-2313
Practice Address - Country:US
Practice Address - Phone:415-668-6789
Practice Address - Fax:415-668-8969
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC1483171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist