Provider Demographics
NPI:1942546031
Name:NEST ACUPUNCTURE
Entity Type:Organization
Organization Name:NEST ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFINIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCENTIRE TANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:415-673-6378
Mailing Address - Street 1:1990 LOMBARD ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-2828
Mailing Address - Country:US
Mailing Address - Phone:415-673-6378
Mailing Address - Fax:
Practice Address - Street 1:1990 LOMBARD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-2828
Practice Address - Country:US
Practice Address - Phone:415-673-6378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty