Provider Demographics
NPI:1972845725
Name:HOPEWELL MEDICAL ACUPUNCTURE CENTER
Entity Type:Organization
Organization Name:HOPEWELL MEDICAL ACUPUNCTURE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:408-737-1010
Mailing Address - Street 1:PO BOX 70926
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-0926
Mailing Address - Country:US
Mailing Address - Phone:408-737-1010
Mailing Address - Fax:
Practice Address - Street 1:1271 LAKESIDE DR
Practice Address - Street 2:APT 2138
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-1055
Practice Address - Country:US
Practice Address - Phone:408-737-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12775171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty