Provider Demographics
NPI:1245481084
Name:SEQUOIA HEALING CLINIC & SPA
Entity type:Organization
Organization Name:SEQUOIA HEALING CLINIC & SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:510-836-3888
Mailing Address - Street 1:1728 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3408
Mailing Address - Country:US
Mailing Address - Phone:510-836-3888
Mailing Address - Fax:510-836-3883
Practice Address - Street 1:1728 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3408
Practice Address - Country:US
Practice Address - Phone:510-836-3888
Practice Address - Fax:510-836-3883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty