Provider Demographics
NPI:1295749844
Name:TOP CHINA HERB LINE ACUPUNCTURE CLINIC
Entity type:Organization
Organization Name:TOP CHINA HERB LINE ACUPUNCTURE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:HSIAO
Authorized Official - Middle Name:LIN
Authorized Official - Last Name:FU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-505-0283
Mailing Address - Street 1:37477 FREMONT BLVD.
Mailing Address - Street 2:STE A.
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536
Mailing Address - Country:US
Mailing Address - Phone:510-505-0285
Mailing Address - Fax:510-505-0388
Practice Address - Street 1:37477 FREMONT BLVD.
Practice Address - Street 2:STE A.
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536
Practice Address - Country:US
Practice Address - Phone:510-505-0285
Practice Address - Fax:510-505-0388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF 6962171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty