Provider Demographics
NPI:1295924264
Name:CHINESE MEDICINE WORKS
Entity type:Organization
Organization Name:CHINESE MEDICINE WORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:XIAOYANG
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-498-8585
Mailing Address - Street 1:2824 CAMINO DOS RIOS
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-1137
Mailing Address - Country:US
Mailing Address - Phone:805-498-8585
Mailing Address - Fax:
Practice Address - Street 1:2824 CAMINO DOS RIOS
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-1137
Practice Address - Country:US
Practice Address - Phone:805-498-8585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
11574171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty