Provider Demographics
NPI:1811507205
Name:COMFORT ACUPUNCTURE CENTER,INC
Entity type:Organization
Organization Name:COMFORT ACUPUNCTURE CENTER,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XIAODAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:650-772-2568
Mailing Address - Street 1:19275 SAN MARCOS RD
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-5677
Mailing Address - Country:US
Mailing Address - Phone:650-766-8718
Mailing Address - Fax:
Practice Address - Street 1:2464 W EL CAMINO REAL STE B
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-1425
Practice Address - Country:US
Practice Address - Phone:650-766-8718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2020-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service