Provider Demographics
NPI:1801317151
Name:GREEN APPLE ACUPUNCTURE
Entity type:Organization
Organization Name:GREEN APPLE ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZZERA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:925-855-1645
Mailing Address - Street 1:185 FRONT ST STE 206
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-3340
Mailing Address - Country:US
Mailing Address - Phone:925-855-1645
Mailing Address - Fax:925-855-1645
Practice Address - Street 1:185 FRONT ST STE 206
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-3340
Practice Address - Country:US
Practice Address - Phone:925-855-1645
Practice Address - Fax:925-855-1645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty