Provider Demographics
NPI:1750754644
Name:SARANA COMMUNITY ACUPUNCTURE INC.
Entity type:Organization
Organization Name:SARANA COMMUNITY ACUPUNCTURE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST / SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:TATYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RYEVZINA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:510-526-5056
Mailing Address - Street 1:970 SAN PABLO AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-2010
Mailing Address - Country:US
Mailing Address - Phone:510-526-5056
Mailing Address - Fax:
Practice Address - Street 1:970 SAN PABLO AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-2010
Practice Address - Country:US
Practice Address - Phone:510-526-5056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center