Provider Demographics
NPI:1952634966
Name:ACU HEALTH MEDICAL GROUP INC
Entity Type:Organization
Organization Name:ACU HEALTH MEDICAL GROUP INC
Other - Org Name:HE XIE INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ENMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PENG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:650-274-8320
Mailing Address - Street 1:2004 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1432
Mailing Address - Country:US
Mailing Address - Phone:650-274-8320
Mailing Address - Fax:408-899-4296
Practice Address - Street 1:1289 E HILLSDALE BLVD STE 2
Practice Address - Street 2:
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-1219
Practice Address - Country:US
Practice Address - Phone:650-212-7968
Practice Address - Fax:408-899-4296
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HE XIE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-09
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALAC13140171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty