Provider Demographics
NPI:1245633346
Name:ASCEND ACUPUNCTURE
Entity type:Organization
Organization Name:ASCEND ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:WAFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-895-1164
Mailing Address - Street 1:270 E HIGHWAY 246 STE 222
Mailing Address - Street 2:
Mailing Address - City:BUELLTON
Mailing Address - State:CA
Mailing Address - Zip Code:93427-9677
Mailing Address - Country:US
Mailing Address - Phone:805-895-1164
Mailing Address - Fax:
Practice Address - Street 1:243 GLENNORA WAY
Practice Address - Street 2:
Practice Address - City:BUELLTON
Practice Address - State:CA
Practice Address - Zip Code:93427
Practice Address - Country:US
Practice Address - Phone:805-895-1164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 11733171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty