Provider Demographics
NPI:1740973742
Name:LAMORINDA ACUPUNCTURE PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:LAMORINDA ACUPUNCTURE PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LI CHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:925-320-1715
Mailing Address - Street 1:105 MELODY LANE
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-1005
Mailing Address - Country:US
Mailing Address - Phone:925-247-4183
Mailing Address - Fax:
Practice Address - Street 1:1 NORTHWOOD DR STE 2
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-3030
Practice Address - Country:US
Practice Address - Phone:925-247-4183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty