Provider Demographics
NPI:1669543773
Name:ATP ACUPUNCTURRE & CHINESE MEDICINE
Entity type:Organization
Organization Name:ATP ACUPUNCTURRE & CHINESE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY PING
Authorized Official - Middle Name:
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:510-713-9086
Mailing Address - Street 1:230 FREMONT HUB COURTYARD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-7702
Mailing Address - Country:US
Mailing Address - Phone:510-713-9086
Mailing Address - Fax:510-713-8538
Practice Address - Street 1:230 FREMONT HUB COURTYARD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-7702
Practice Address - Country:US
Practice Address - Phone:510-713-9086
Practice Address - Fax:510-713-8538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5906171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty