Provider Demographics
NPI:1720261621
Name:ACM SERVICES
Entity Type:Organization
Organization Name:ACM SERVICES
Other - Org Name:SINO-LEGACY ACUPUNCTURE CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:DAMON
Authorized Official - Last Name:FRACH
Authorized Official - Suffix:SR
Authorized Official - Credentials:PHD
Authorized Official - Phone:408-217-2629
Mailing Address - Street 1:3234 MCKINLEY DR.
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051
Mailing Address - Country:US
Mailing Address - Phone:408-217-2629
Mailing Address - Fax:408-663-9210
Practice Address - Street 1:3234 MCKINLEY DR.
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051
Practice Address - Country:US
Practice Address - Phone:408-217-2629
Practice Address - Fax:408-663-9210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-13
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14776171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty