Provider Demographics
NPI:1457704348
Name:WELL BALANCED ACUPUNCTURE
Entity Type:Organization
Organization Name:WELL BALANCED ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:NITZAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-242-0480
Mailing Address - Street 1:1150 MARASCHINO DR
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2101
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12280 SARATOGA SUNNYVALE RD
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-3064
Practice Address - Country:US
Practice Address - Phone:408-242-0480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty