Provider Demographics
NPI:1063758324
Name:CALIFORNIA HEALTH & ACUPUNCTURE INC
Entity type:Organization
Organization Name:CALIFORNIA HEALTH & ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:650-320-0008
Mailing Address - Street 1:PO BOX 1255
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94042-1255
Mailing Address - Country:US
Mailing Address - Phone:650-320-0008
Mailing Address - Fax:650-424-8165
Practice Address - Street 1:3505 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-2806
Practice Address - Country:US
Practice Address - Phone:650-320-0008
Practice Address - Fax:650-424-8165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-13
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4327171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty