Provider Demographics
NPI:1831065333
Name:PATH ACUPUNCTURE & HERBAL MEDICINE
Entity type:Organization
Organization Name:PATH ACUPUNCTURE & HERBAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:YAO
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:775-229-6205
Mailing Address - Street 1:6655 W SAHARA AVE STE A206
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-2812
Mailing Address - Country:US
Mailing Address - Phone:702-202-3383
Mailing Address - Fax:
Practice Address - Street 1:6655 W SAHARA AVE STE A206
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-2812
Practice Address - Country:US
Practice Address - Phone:702-202-3383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty