Provider Demographics
NPI:1356765572
Name:ONENESS MEDICAL INC
Entity type:Organization
Organization Name:ONENESS MEDICAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIN JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, PHD
Authorized Official - Phone:650-485-3293
Mailing Address - Street 1:747 ALTOS OAKS DR
Mailing Address - Street 2:SUITE #1
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-5432
Mailing Address - Country:US
Mailing Address - Phone:650-485-3293
Mailing Address - Fax:
Practice Address - Street 1:747 ALTOS OAKS DR
Practice Address - Street 2:SUITE #1
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-5432
Practice Address - Country:US
Practice Address - Phone:650-485-3293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-07
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15611171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty