Provider Demographics
NPI:1982760245
Name:UNIVERSITY OF EAST WEST MEDICINE
Entity Type:Organization
Organization Name:UNIVERSITY OF EAST WEST MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YING QIU
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:408-733-1878
Mailing Address - Street 1:970 W EL CAMINO REAL
Mailing Address - Street 2:SUIT #8
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-6106
Mailing Address - Country:US
Mailing Address - Phone:408-733-1878
Mailing Address - Fax:408-992-0448
Practice Address - Street 1:970 W EL CAMINO REAL
Practice Address - Street 2:SUIT #8
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-6106
Practice Address - Country:US
Practice Address - Phone:408-733-1878
Practice Address - Fax:408-992-0448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4341171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty