Provider Demographics
NPI:1932951308
Name:GRAND TCM HEALING ACUPUNCTURE INC
Entity Type:Organization
Organization Name:GRAND TCM HEALING ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUXIANG
Authorized Official - Middle Name:
Authorized Official - Last Name:NING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-420-6722
Mailing Address - Street 1:4238 FOLSOM ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-6122
Mailing Address - Country:US
Mailing Address - Phone:415-646-3503
Mailing Address - Fax:415-875-9372
Practice Address - Street 1:4238 FOLSOM ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-6122
Practice Address - Country:US
Practice Address - Phone:415-505-6002
Practice Address - Fax:415-875-9372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0000XNursing Service ProvidersRegistered NursePain ManagementGroup - Multi-Specialty