Provider Demographics
NPI:1942494075
Name:THREE TREASURES ACUPUNCTURE, INC.
Entity Type:Organization
Organization Name:THREE TREASURES ACUPUNCTURE, INC.
Other - Org Name:BONITA ACUPUNCTURE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:H
Authorized Official - Last Name:KATER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:619-267-6050
Mailing Address - Street 1:4190 BONITA RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:BONITA
Mailing Address - State:CA
Mailing Address - Zip Code:91902-1329
Mailing Address - Country:US
Mailing Address - Phone:619-267-6050
Mailing Address - Fax:619-267-6056
Practice Address - Street 1:4190 BONITA RD
Practice Address - Street 2:SUITE 207
Practice Address - City:BONITA
Practice Address - State:CA
Practice Address - Zip Code:91902-1329
Practice Address - Country:US
Practice Address - Phone:619-267-6050
Practice Address - Fax:619-267-6056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty