Provider Demographics
NPI:1457197063
Name:SERAI ACUPUNCTURE AND WELLNESS CORPORATION
Entity type:Organization
Organization Name:SERAI ACUPUNCTURE AND WELLNESS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DACM, LAC
Authorized Official - Phone:415-496-6002
Mailing Address - Street 1:PO BOX 641513
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94164-1513
Mailing Address - Country:US
Mailing Address - Phone:415-496-6002
Mailing Address - Fax:415-358-5909
Practice Address - Street 1:601 VAN NESS AVE STE I
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-6315
Practice Address - Country:US
Practice Address - Phone:415-496-6002
Practice Address - Fax:415-358-5909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty