Provider Demographics
NPI:1942426556
Name:DA MING ACUPUNCTURE AND HERB CENTER, PC
Entity Type:Organization
Organization Name:DA MING ACUPUNCTURE AND HERB CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:YOURUI
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:650-320-9538
Mailing Address - Street 1:809 SAN ANTONIO RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-4634
Mailing Address - Country:US
Mailing Address - Phone:650-320-9538
Mailing Address - Fax:650-320-8230
Practice Address - Street 1:809 SAN ANTONIO RD
Practice Address - Street 2:SUITE 10
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-4634
Practice Address - Country:US
Practice Address - Phone:650-320-9538
Practice Address - Fax:650-320-8230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6423171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty