Provider Demographics
NPI:1063282457
Name:A SIMPLE TOUCH SPA, INC
Entity type:Organization
Organization Name:A SIMPLE TOUCH SPA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YANJIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-433-6856
Mailing Address - Street 1:239 CENTER ST STE C
Mailing Address - Street 2:
Mailing Address - City:HEALDSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:95448-4488
Mailing Address - Country:US
Mailing Address - Phone:707-433-6856
Mailing Address - Fax:
Practice Address - Street 1:239 CENTER ST STE C
Practice Address - Street 2:
Practice Address - City:HEALDSBURG
Practice Address - State:CA
Practice Address - Zip Code:95448-4488
Practice Address - Country:US
Practice Address - Phone:707-433-6856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service