Provider Demographics
NPI:1841731247
Name:SHEN'S ACUPUNCTURE AND CHINESE HERB INC.
Entity type:Organization
Organization Name:SHEN'S ACUPUNCTURE AND CHINESE HERB INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HUA SHU
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:209-527-6478
Mailing Address - Street 1:1100 CARVER RD STE P2
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-4788
Mailing Address - Country:US
Mailing Address - Phone:209-527-6478
Mailing Address - Fax:209-527-6914
Practice Address - Street 1:1100 CARVER RD STE P2
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-4788
Practice Address - Country:US
Practice Address - Phone:209-527-6478
Practice Address - Fax:209-527-6914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC0044901171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty