Provider Demographics
NPI:1801141874
Name:YUAN YI ACUPUNCTURE CLINIC
Entity type:Organization
Organization Name:YUAN YI ACUPUNCTURE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:650-342-8880
Mailing Address - Street 1:101 N EL CAMINO REAL
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-2700
Mailing Address - Country:US
Mailing Address - Phone:650-342-8880
Mailing Address - Fax:
Practice Address - Street 1:101 N EL CAMINO REAL
Practice Address - Street 2:SUITE 4
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-2700
Practice Address - Country:US
Practice Address - Phone:650-342-8880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center