Provider Demographics
NPI:1023409604
Name:HMU CLINIC
Entity type:Organization
Organization Name:HMU CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHUNG CHAO
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:650-855-9800
Mailing Address - Street 1:PO BOX 513
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94042-0513
Mailing Address - Country:US
Mailing Address - Phone:650-855-9800
Mailing Address - Fax:650-855-9896
Practice Address - Street 1:2060 WALSH AVE
Practice Address - Street 2:#101
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-2500
Practice Address - Country:US
Practice Address - Phone:650-855-9800
Practice Address - Fax:650-855-9896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11915171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty