Provider Demographics
NPI:1982016408
Name:HONG WEI ACUPUNCTURE CLINIC
Entity Type:Organization
Organization Name:HONG WEI ACUPUNCTURE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YUCHI
Authorized Official - Middle Name:
Authorized Official - Last Name:KU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-436-8055
Mailing Address - Street 1:6755 TUNBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95120-2129
Mailing Address - Country:US
Mailing Address - Phone:408-927-5408
Mailing Address - Fax:
Practice Address - Street 1:1630 OAKLAND RD STE A117
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2461
Practice Address - Country:US
Practice Address - Phone:408-436-8055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC9881275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit